Sandbox:Hematuria differential diagnosis: Difference between revisions
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Gross hematuria should always be considered significant, because it is a sign of malignancy until proven otherwise. Roughly 4% of patients with microscopic hematuria and up to 40% of patients with gross hematuria could be harboring a malignancy.<ref name="pmid27261791">{{cite journal| author=Avellino GJ, Bose S, Wang DS| title=Diagnosis and Management of Hematuria. | journal=Surg Clin North Am | year= 2016 | volume= 96 | issue= 3 | pages= 503-15 | pmid=27261791 | doi=10.1016/j.suc.2016.02.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27261791 }}</ref> | Gross hematuria should always be considered significant, because it is a sign of malignancy until proven otherwise. Roughly 4% of patients with microscopic hematuria and up to 40% of patients with gross hematuria could be harboring a malignancy.<ref name="pmid27261791">{{cite journal| author=Avellino GJ, Bose S, Wang DS| title=Diagnosis and Management of Hematuria. | journal=Surg Clin North Am | year= 2016 | volume= 96 | issue= 3 | pages= 503-15 | pmid=27261791 | doi=10.1016/j.suc.2016.02.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27261791 }}</ref> | ||
False-positive microhematuria in dipsticks urinalysis caused by the presence of semen in urine.<ref name="pmid12726934">{{cite journal| author=Mazouz B, Almagor M| title=False-positive microhematuria in dipsticks urinalysis caused by the presence of semen in urine. | journal=Clin Biochem | year= 2003 | volume= 36 | issue= 3 | pages= 229-31 | pmid=12726934 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12726934 }}</ref> | |||
Current practice for the investigation of hematuria is set out in Campbell's Urology [1] as follows: "Hematuria may be gross or microscopic, but it must be emphasized that the degree of hematuria bears no relationship to the possible cause. Any red blood cells seen in a centrifuged specimen of urine must be considered significant. Hematuria should never be ignored, and no matter how trivial the bleeding may seem, a complete urological investigation into its cause is mandatory."<ref name="pmid7077941">{{cite journal| author=Fairley KF, Birch DF| title=Hematuria: a simple method for identifying glomerular bleeding. | journal=Kidney Int | year= 1982 | volume= 21 | issue= 1 | pages= 105-8 | pmid=7077941 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7077941 }}</ref> | |||
== References == | |||
Latest revision as of 15:47, 23 November 2016
Gross hematuria should always be considered significant, because it is a sign of malignancy until proven otherwise. Roughly 4% of patients with microscopic hematuria and up to 40% of patients with gross hematuria could be harboring a malignancy.[1]
False-positive microhematuria in dipsticks urinalysis caused by the presence of semen in urine.[2]
Current practice for the investigation of hematuria is set out in Campbell's Urology [1] as follows: "Hematuria may be gross or microscopic, but it must be emphasized that the degree of hematuria bears no relationship to the possible cause. Any red blood cells seen in a centrifuged specimen of urine must be considered significant. Hematuria should never be ignored, and no matter how trivial the bleeding may seem, a complete urological investigation into its cause is mandatory."[3]
References
- ↑ Avellino GJ, Bose S, Wang DS (2016). "Diagnosis and Management of Hematuria". Surg Clin North Am. 96 (3): 503–15. doi:10.1016/j.suc.2016.02.007. PMID 27261791.
- ↑ Mazouz B, Almagor M (2003). "False-positive microhematuria in dipsticks urinalysis caused by the presence of semen in urine". Clin Biochem. 36 (3): 229–31. PMID 12726934.
- ↑ Fairley KF, Birch DF (1982). "Hematuria: a simple method for identifying glomerular bleeding". Kidney Int. 21 (1): 105–8. PMID 7077941.