Question

In: Anatomy and Physiology

What are normal and abnormal causes of hematuria?

What are normal and abnormal causes of hematuria?

Solutions

Expert Solution

Henaturia - It is defined as presence of atleast 5 RBC per microliter of urine. Normally blood is not present in urine. At very few instances haematuria can be considered normal.

(Note - Red coloured urine without RBC/Haemoglobin is not haematuria. Cause of red colour urine include - beet root ingestion, blackberry ingestion etc.)

Normal or physiological hematuria can be seen in ;

- Pregnancy (during 2nd or 3rd trimester)

- After heavy exercise

- after fever

Abnormal causes of Haematuria : Can be due to upper or lower urinary tract problem.

A. Upper urinary tract causes of Haematuria :

1. Post infectious - PSGN - Post streptococcal glomerulonephritis.

2. Alport syndrome

3. IgA nephropathy (Bergers Disease)

4. FSGS

5. Pyelonephritis

6. SLE nephritis

7. HSP nephritis (henoch schollen purpura )

8. Papillary necrosis

9. Acute tubular necrosis (ATN)

10. Nutcracker syndrome

11. Hydronephrosis

12. Polycystic kidney disease

13. Wilms tumor

14. Trauma

B. Lower urinary tract causes of Haematuria :

1. Cystitis

2. Urethritis

3. Urolithiasis

4. Bladder tumor

5. Coagulopathy


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