61. NEJM -- Microscopic Hematuria Correspondence from The New England Journal of Medicine Microscopic hematuria. http://content.nejm.org/cgi/content/short/349/13/1292

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Please sign in for full text and personal services Previous Volume 349:1292-1293 September 25, 2003 Number 13 Next Microscopic Hematuria Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings. Full Text PDF PDA Full Text Add to Personal Archive ... PubMed Citation To the Editor: In their Clinical Practice article on microscopic hematuria (June 5 issue), Cohen and Brown recommend a course of action that adheres to neither the recommendations of the American Academy of Family Physicians nor those of the American Urological Association. The diagnosis of microscopic hematuria, when it is not associated with a urinary tract infection or proteinuria, requires a referral to a urologist. Prospective, controlled trials of the standard urologic evaluation may alter current practice, but these trials have not yet been performed. Until data are available on which to base a firm recommendation, a change Full Text of this Article HOME SEARCH CURRENT ISSUE ... HELP Comments and questions? Please contact us The New England Journal of Medicine is owned, published, and

62. Log In Problems A study suggests and the editorialist agrees that only longterm follow-up isneeded, whereas it is important to evaluate asymptomatic gross hematuria. http://www.medscape.com/viewarticle/502484

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63. Log In Problems A 39year-old otherwise asymptomatic male presents to his primary caregiver withhematuria. http://www.medscape.com/viewarticle/506672

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64. Georgia Urology - Hematuria This is the website for Georgia Urology, the largest private urology practice inthe United States. http://www.georgiaurology.com/hematuria.shtml

HEMATURIA Hematuria (bloody urine) is a common sign and symptom that may be encountered by any person regardless of age (Table 1). It is a danger signal that cannot be ignored. The passage of blood-stained urine may be the first sign of serious disease in the urinary tract, and a single episode of hematuria warrants urologic investigation. (Table 1) Table 1, The Most Common Causes of Hematuria by Age and Sex 0-20 Years Acute glomerulonephritis Acute urinary tract infection Congential urinary tract anomalies with obstruction 20-40 Years Acute urinary tract infection Stones Bladder tumor 40-60 Years (males) Bladder tumor Stones Acute urinary tract infection 40-60 Years (females) Acute urinary tract infection Stones Bladder tumor 60 Years (males) Benign prostatic hyperplasia Bladder tumor Acute urinary tract infection 60 Years (females) Bladder tumor Acute urinary tract infection Classification of Hematuria It is helpful to classify hematuria in two ways: first by quantity and second by the time of its appearance during voiding. Gross hematuria is evident to the naked eye and microscopic is demonstrable under the microscope. The degree of hematuria (micoscopic vs gross hematuria) does not correlate with seriousiness of the disease (i.e. tumor).

65. AllRefer Health - Bloody Urine (Blood In The Urine, Hematuria) Urine Bloody (Blood in the Urine, hematuria) information center covers causes,symptoms, expectations, home care, signs of concern, and treatment. http://health.allrefer.com/health/urine-bloody-or-dark-info.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump Abdominal Pain Anxiety Blood in Urine Blood Pressure, High Blood Pressure, Low Breast Lump Chest Pain Constipation Depression Diarrhea Dizziness Dry Skin Fatigue Hair Loss Headache Heartburn Incontinence Indigestion Insomnia (Sleeping Difficulty) Low Back Pain Menstrual Periods, Abnormal Obesity Red Eye Seizures Skin Rash Sore Throat Swelling Urinary Frequency/Urgency Weakness 300+ More Symptoms Topics Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health Medical Symptoms Guide Bloody Urine Urine - Bloody Definition Common Causes Call your Health Care Provider if What to Expect at your Health Care Provider's Office ... Go To Main Page Alternate Names : Blood in the Urine, Hematuria Definition The presence of blood in your urine can turn toilet water pale pink or bright red. Or, you may just see spots of blood in the water after urinating. Female Urinary Tract Male Urinary Tract In women, blood may appear to be in the urine when it is actually coming from the vagina . Similarly, in men, the urethra carries both urine and semen out of the body and what may be mistaken for urinary bleeding is sometimes a bloody ejaculation, usually due to a prostate problem. Furthermore, discoloration from certain drugs or foods (such as beets) can mimic blood in the urine.

66. AllRefer Health - RBC - Urine (Hematuria Test, Red Blood Cells In Urine) - Test/ RBC Urine (hematuria Test, Red Blood Cells in Urine) information center coversdescription, preparation, risks, expectations, special considerations, http://health.allrefer.com/health/rbc-urine-info.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump Biopsy Blood Hemoglobin Blood Pressure Bone Scan Cardiac Catheterization Cholesterol Test Coronary Angiography CT ECG Echocardiogram Eye Exam MRI Pap Smear PSA Stool Guaiac Test Throat Swab Culture Thyroid Function Tests Ultrasound Urinalysis X-Ray 600+ More Medical Tests Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health RBC - Urine RBC - Urine Definition How is the Test Performed? How to Prepare for the Test? How will the Test Feel? Normal Values What do Abnormal Results Mean? ... Go To Main Page Alternate Names : Hematuria Test, Red Blood Cells in Urine Definition The RBC - urine test measures the number of red cells in a given volume of urine. Male Urinary System How is the Test Performed? Child or adult: Collect a "clean-catch" (midstream) urine sample. To obtain a clean-catch sample, men or boys should wipe clean the head of the penis . Women or girls need to wash the area between the lips of the vagina with soapy water and rinse well. As you start to urinate, allow a small amount to fall into the toilet bowl (this clears the urethra of contaminants). Then, in a clean container, catch about 1 to 2 ounces of urine and remove the container from the urine stream. Give the container to the health care provider or assistant.

67. Virtual Naval Hospital: General Medical Officer Manual: Clinical Section hematuria, either gross or microscopic, is one of the more common problems The normal population will have some degree of microscopic hematuria and in http://www.vnh.org/GMO/ClinicalSection/103Hematuriaotherurologic.html

General Medical Officer (GMO) Manual: Clinical Section: Urologic/Renal Disorders Hematuria and Other Urologic Conditions Department of the Navy Bureau of Medicine and Surgery Peer Review Status: Internally Peer Reviewed (1) Hematuria Strenuous exercise, urinary tract instrumentation, and menstruation may induce hematuria, and therefore, evaluations for microscopic hematuria should be performed greater than 48 hours after exercise or instrumentation, or 2 weeks after menses to obtain the most accurate results. Urinalyses positive for blood on dipstick must be followed by a quantitative microscopic examination for red blood cells, as false positive results can occur in normal states as well as patients with myoglobinuria. (2) Differential Diagnosis The differential diagnosis for hematuria is large, and includes conditions such as UTIs (most common), urolithiasis, renal or urothelial tumors, trauma, hemangiomas or arterio-venous malformations, glomerulonephritis (commonly in association with significant proteinuria), strictures, benign prostatic hyperplasia (BPH), or urethritis. (3) Hematuria evaluation Annual urinalysis and cytologies should follow negative evaluations for 3 years. If no progression of hematuria or positive cytologies occur, the evaluation is finished. For recurrent or worsening hematuria, a complete repeat work up in indicated.

68. Hematuria - New Treatments, January 22, 2005 Advances in the Diagnosis and Treatment of hematuria, January 22, 2005. http://www.medical-library.org/journals2a/hematuria.htm

Click here to view next page of this article New Treatments for Hematuria Hematuria is a frequent abnormal finding in the genitourinary system, second only to urinary tract infection. The prevalence of microscopic hematuria among school-aged children is 0.4-2.1%; however, the presence of hematuria alone is rarely indicative of serious illness bloody urine. Pathophysiology of Hematuria Blood in the urine is usually first detected with a dipstick test, which reacts with hemoglobin. A reaction greater than 1+ is considered positive hemateria The dipstick is not a test for red blood cells (RBCs); therefore, the dipstick screen must be followed by microscopic examination of the urine to confirm the presence of RBCs (hematuria). Microscopic hematuria is defined as six or more RBCs per high-power field in a fresh, urine sediment specimen. Two significant causes of a positive dipstick and a negative microscopic examination are free hemoglobin from hemolysis and myoglobinuria from rhabdomyolysis. Certain drugs and toxins also can cause red urine Causes of Factitious Hematuria Heme-positive Hemoglobinuria Myoglobinuria Heme-negative Metabolites Homogentisic acid Porphyrin Melanin Drugs Salicylates Sulfa Chloroquine Nitrofurantoin Methyldopa Metronidazole bloody urine Levodopa Clinical Evaluation of Hematuria The history often will suggest a presumptive diagnosis and will usually narrow the differential diagnosis.

69. Blood In The Urine And Hematuria - Online Diagnosis. New Treatments, January 22, Online diagnosis of blood in the urine and hematuria based on the patient s symptoms.New Treatments, January 22, 2005. http://www.medical-library.org/journals/mddx/hematuria/1check_urine_culture.htm

Online Medical Diagnosis The National Medical Society Blood in the Urine and Hematuria - Online Diagnosis Online diagnosis of blood in the urine based on the patient's symptoms. New Treatments, January 22, 2005. For how many days or weeks has there been blood in the urine? Don't know How old is the patient? Has the patient had abdominal pain? Yes No Has the patient had fever? Yes No Does the patient have abdominal pain? Yes No Is the urine color brown? Yes No Is the urine color red? Yes No Karen Williams, MD back to the library Online Diagnosis of Symptoms and Medical Diseases Online Diagnosis of Psychiatric Disorders Online Treatment Advisor and New Treatments ... Diagnosis by Disease This interactive medical program finds a diagnosis for bloody urine and blood in urine.

70. Potty Training - Microscopic Hematuria Potty training solutions for parents and children. Trusted potty training helpincluding potty training advice, potty training information, and high quality http://pottytrainingsolutions.com/information/microscopic-hematuria.htm

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71. Hematuria And Nephropathy hematuria by Antonio Guasch, MD. hematuria is a relatively common disorder insickle cell anemia and may be a manifestation of the disease itself, http://www.scinfo.org/hematur.htm

Sickle Cell Information Center Guidelines Edited by James Eckman, M.D. and Allan Platt, PA-C Hematuria by Antonio Guasch, MD Hematuria is a relatively common disorder in sickle cell anemia and may be a manifestation of the disease itself, or result from other problems such as urinary infections, renal papillary necrosis, renal stones, tumors or glomerulonephritis.. Clinical Findings Subjective Data Present Illness . Note the onset, amount (gross vs microscopic), and associated symptoms (dysuria, fever, nausea, vomiting, back or flank pain, or other systemic symptoms). Previous episodes, treatment and precipitating factors. Obtain a detailed sexual history and, in females, determine the last menstrual period. Past Medical History . Define previous hospitalizations, surgery, present medications, and drug allergies. Family history of stones, renal or bladder tumors. Review of symptoms . Note change in weight and general ROS to sdetect systemic disease Objective Data Physical Examination - General. Degree of distress, weight change, hydration. - Vital Signs. Temperature, Blood pressure, Pulse.

72. Hematuria - MEDSTUDENTS - Pediatrics a brief review of conditons particularly associated with hematuria, and the stepsto be followed in the evaluation of the child with hematuria. http://www.medstudents.com.br/pedia/pedia7.htm

PEDIATRICS Karina Luise Glaser Medstudents' Homepage Hematuria Microscopic hematuria: more than 5 red blood cells per high power field in the sediment from 10 mL of centrifuged freshly voided urine. Gross hematuria (visible to the naked eye): may originate from the kidney (may contain red blood cell casts, and is usually brown) or from the bladder and urethra (pink urine, may contain clots). Recurrent gross hematuria Recurrent episodes which usually develop 1-2 days after the onset of a viral upper respiratory tract infection. It resolves over 1-2 weeks, but microscopic hematuria may persist. Biopsy is recommended after the second episode. Underlying diseases: IgA nephropathy (Berger nephropathy) Idiopathic hematuria Familial nephritis (Alport syndrome) Idiopathic hypercalciuria Berger nephropathy: IgA is the predominant immunoglobulin in mesangial deposits. It affects most commonly males than females (2:1); patients present with gross or microscopic hematuria. Progressive disease develops in 30% of patients. The development of hypertension, diminished renal function or proteinuria > 1 g/ 24 h indicate a poor prognosis. Idiopathic hematuria: the diagnosis is established by normal findings on biopsy. Long term follow up is necessary to exclude Alport syndrome. The development of diminished renal function, proteinuria or hypertension demands a second biopsy.

73. Hematuria Article At Phoenix5 Information about hematuria at Phoenix5. hematuria is the presence of redblood cells (RBCs) in the urine. Some people misspell it as hemoturia. http://www.phoenix5.org/articles/HematuriaNIH.html

main menu articles prostate stories ... search from The Articles Menu HEMATURIA (blood in the urine) from the US National Institute of Health Hematuria is the presence of red blood cells (RBCs) in the urine. [Some people misspell it as hemoturia .] In microscopic hematuria, the urine appears normal to the naked eye, but examination under a microscope shows a high number of RBCs. Gross hematuria can be seen with the naked eyethe urine is red or the color of cola. Several conditions can cause hematuria. Most of the causes are not serious. For example, exercise may cause hematuria that goes away in 24 hours. Many people have hematuria without having any other related problems. But because hematuria may be the result of a tumor or other serious problem, a doctor should be consulted. In order to find the cause of hematuria, or to rule out certain causes, the doctor may order a series of tests, including urinalysis, blood tests, intravenous pyelogram, and cystoscopic examination. Urinalysis is the examination of urine for various cells and chemicals. In addition to finding RBCs, the doctor may find white blood cells that signal a urinary tract infection or casts (groups of cells molded together in the shape of the kidneys' tiny filtering tubes) that signal kidney disease. Excessive protein in the urine also signals poor kidney function. Blood tests may reveal kidney disease if the blood contains high levels of wastes that the kidneys are supposed to remove.

74. Definition Of Hematuria Definition from the Phoenix5 Prostate cancer glossary dictionary. http://www.phoenix5.org/glossary/hematuria.html

main menu articles prostate stories ... From Phoenix5's Prostate Cancer Glossary hematuria Definition: (HEE-muh-TOOR-ee-uh) Blood in the urine . Sometimes misspelled as hem O turia . Different than hematospermia , which is blood in the ejaculate or semen See an article about hematuria, here at Phoenix5 make another selection #s A B C ... The Personal Edition Definitions are provided for education only and are not medical advice. Created exclusively for Phoenix5

75. UpToDate Patient Information: Blood In The Urine (hematuria) WHAT IS hematuria AND HOW IS IT DIAGNOSED? — hematuria refers to blood in the urine.In some cases, blood makes the urine turn an abnormal color, while, http://patients.uptodate.com/topic.asp?file=kidn_dis/2920

76. UpToDate Evaluation Of Hematuria In Adults However, the finding of hematuria is important, since it may be a symptom In the example noted above, of the 23 patients with hematuria, five were found http://patients.uptodate.com/topic.asp?file=renldis/7627

77. Division Of Urology - AUBMC: Medical Conditions: Hematuria In short, hematuria is the presence of blood in the urine, visible to the hematuria is an indication of a problem in the urinary tract that is causing http://wwwlb.aub.edu.lb/~weburol/hematuria.html

Director's Message Faculty Staff Residents ... Medical Conditions / Hematuria Faculty of Medicine Home About Us Specialties ... Contact Us Medical Conditions: Hematuria In short, hematuria is the presence of blood in the urine, visible to the naked eye or only under a microscope. Hematuria is an indication of a problem in the urinary tract that is causing bleeding, and affects about 10% of men and women. There are two types of hematuria; microscopic hematuria, where the presence of blood can only be identified under a microscope, and gross hematuria, where the urine is colored pink or red from large amounts of blood. There are several diseases that cause hematuria, such as: - Benign Prostatic Hyperplasia (enlarged prostate) - Kidney / bladder stones - Urinary Tract Infections - Physical trauma of the urinary tract - Medications Once the cause of the bleeding is identified, appropriate treatment can be chosen, such as the use of antibiotics for urinary tract infections. Some hematuria have no known cause, and so no treatment may be prescribed, though evaluation is necessary as hematuria may be caused by a life threatening disease.

78. Evaluation Of Asymptomatic Microscopic Hematuria In Adults: The American Urologi Patients with asymptomatic microscopic hematuria who are at risk for urologic Asymptomatic microscopic hematuria has many causes ranging from minor, http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=2920&nbr=2146

79. American Family Physician: Microscopic Hematuria Full text of the article, Microscopic hematuria from American Family Physician,a publication in the field of Health Fitness, is provided free of charge http://www.findarticles.com/p/articles/mi_m3225/is_1_71/ai_n8702978

@import url(/css/us/style1.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); @import url(/css/us/artHome1.css); Advanced Search Home Help IN free articles only all articles this publication Automotive Sports 10,000,000 articles - not found on any other search engine. FindArticles American Family Physician Jan 1, 2005 Content provided in partnership with 10,000,000 articles Not found on any other search engine. Related Searches Hematuria / Causes of Hematuria / Care and treatment Hematuria / Prevention Hematuria / Diagnosis Featured Titles for AAACN Viewpoint ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports Microscopic hematuria American Family Physician Jan 1, 2005 Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. What is microscopic hematuria? "Microscopic" means something is so small that it can be seen only through a microscope. "Hematuria" (say "he-mah-tur-ee-ah) means blood in the urine. So if you have microscopic hematuria, you have red blood cells in your urine, but you cannot see the blood when you urinate.

80. FindArticles Search For "Hematuria / Diagnosis" Medical Dictionary/Bibliography on hematuria by ICG Affiliate What ismicroscopic hematuria? Microscopic means something is so small that it can be http://www.findarticles.com/p/search?tb=art&qt=Hematuria / Diagnosis

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