haematuria - final year lecture
TRANSCRIPT
![Page 1: Haematuria - Final Year Lecture](https://reader038.vdocuments.site/reader038/viewer/2022102722/556b8db4d8b42ada358b456b/html5/thumbnails/1.jpg)
By;Mr. Adeel ABBAS
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Define Haematuria?
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Haematuria is defined as Blood in the Urine.
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Define Haemoglobinuria?
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Haemoglobinuria is the Passage of Free
Haemoglobin in the Urine.
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What are the Types of Haematuria?
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1. Visible Haematuria (VH).
2. Non-Visible Haematuria (NVH).
1. Symptomatic Non-Visible Haematuria (s-
NVH).
2. Asymptomatic Non-Visible Haematuria (a-
NVH).
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What Are The Causes Of Haematuria?
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1. Renal Causes.2. Ureteric Causes.3. Bladder Causes.4. Urethral Causes.
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Renal Causes;Calculus.RCC.Trauma.Pyelonephritis/Glomerulonephritis.T.B.Renal Adenoma.Renal Cyst.Renal Infarction.A/V Malformation.
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Ureteral Causes;Stone.A. Appendicitis.TCC.
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Bladder Causes;Calculus.TCC.Cystitis.Trauma.
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Urethral Causes;BPH.Prostate Carcinoma.Stone.Trauma
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Diagnostic Features
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Diagnostic Features of Renal CausesCalculus;
Sever Loin Pain.Gross / Microscopic Haematuria.Associated Infection.
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Diagnostic Features of Renal CausesRenal Cell Carcinoma;
Mass in Flank.Loin Pain.Haematuria / Clot.Fever.Para-Neoplastic Syndrome.
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Diagnostic Features of Renal CausesTrauma;
Mild to Moderate Injury Renal Bleeding.
Sever Injury May NOT Bleed (Avulsed Kidney – Complete Disruption).
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Diagnostic Features of Renal CausesGlomerulonephritis;
Microscopic Haematuria.Associated Systemic Disease (SLE).
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Diagnostic Features of Ureteral CausesCalculus;
Sever Loin / Groin Pain.Gross / Microscopic Haematuria.Infection.
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Diagnostic Features of Bladder CausesCalculus;
Sudden Cessation of Micturation.Gross / Microscopic Haematuria.Pain in Perineum.Pain in Tip of Penis.
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Diagnostic Features of Bladder CausesCystitis;
Supra-Pubic Pain.Dysuria.Frequency.Bacteriuria.
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Diagnostic Features of Bladder CausesTransitional Cell Carcinoma;
Painless, Intermittent Haematuria.Worker at Rubber or Dye Industry.
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Diagnostic Features of Prostate CausesBPH;
Painless Haematuria.Obstructive Uropathy.Recurrent UTI.
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Diagnostic Features of Urethral CausesTrauma;
Blood at Meatus.Blow to Perineum.
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Key PointsHaematuria ALWAYS Requires Investigation
to Exclude an Underlying Cause.
Haematuria on Commencing Urination
Suggest a Urethral Cause.
Haematuria After Passing Urine Suggest a
Bladder or Prostatic Cause.
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Key PointsPassage of Ribbon Clots Suggest a Pelvi-
Ureteric Cause.
Renal Bleeding Can Mimic Colic Due to Clots
Passing Down the Ureter.
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