Haematuria

Causes

Appropriate Tests

 

Urinalysis (dipstick); this is a reliable test for haematuria if properly performed, but does not distinguish haematuria from haemoglobinuria and myoglobinuria.

Urine microscopy to confirm haematuria; to distinguish 'glomerular' from 'post-glomerular' (tubular and urinary tract) haematuria by the presence or absence of dysmorphic red cells; to differentiate haematuria from haemoglobinuria and myoglobinuria. Urine culture, if indicated (MCS urine).

See also Coloured urine, Haemoglobinuria, Myoglobinuria, Haemolysis.

Glomerulonephritis

 

Urinary tract calculi

 

Urinary tract infection

 

Urinary tract tumour, especially

  • Kidney
  • Renal pelvis
  • Bladder
  • Prostate

Urine cytology. Fine needle aspirate biopsy and lesion biopsy as appropriate.

See Renal mass.

See Prostatic enlargement.

Polycystic kidney disease

See Cystic renal disease.

Analgesic nephropathy

See Analgesic abuse.

Trauma

 

Bleeding disorder, especially

  • Anticoagulant therapy
  • Severe Haemophilia
  • Thrombocytopenia

See also Bleeding disorders.

See Anticoagulant monitoring.

See Haemophilia.

 

Factitious

 

Exercise - induced