Hematuria history and symptoms: Difference between revisions
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=Overview= | =Overview= | ||
History and symptoms of hematuria depends on the eitology. The history should also include an assessment of associated symptoms, such as gross hematuria, voiding symptoms, or flank pain. Patients' risk factors for known causes of hematuria also should be queried. It is important to know the patient's urologic history, particularly any surgeries or febrile UTIs. It is also critical to ask about the patient's general medical history, to identify potentially contributory diagnoses, such as hypertension, renal insufficiency, bleeding disorders, or sickle cell disease. Current medication use, including anticoagulants and antiplatelet therapies, should be elicited, along with recent coagulation values and any concomitant medications that would potentiate the effects of blood thinners. Family history of nephritis, polycystic kidneys, and rare familial tumor syndromes of the kidney (e.g., von Hippel-Lindau) or urothelium (e.g., Lynch syndrome) also may be informative.<ref name="Campell">{{cite book | last = Wein | first = Alan | title = Campbell-Walsh urology | publisher = Elsevier | location = Philadelphia, PA | year = 2016 | isbn = 978-1455775675 }}</ref> | History and symptoms of hematuria depends on the eitology. The history should also include an assessment of associated symptoms, such as gross hematuria, voiding symptoms, or flank pain. Patients' risk factors for known causes of hematuria also should be queried. It is important to know the patient's urologic history, particularly any surgeries or febrile UTIs. It is also critical to ask about the patient's general medical history, to identify potentially contributory diagnoses, such as [[hypertension]], [[renal insufficiency]], [[bleeding disorders]], or [[sickle cell disease]]. Current medication use, including anticoagulants and [[Antiplatelet agent|antiplatelet therapies]], should be elicited, along with recent coagulation values and any concomitant medications that would potentiate the effects of [[blood thinners]]. Family history of [[nephritis]], [[Polycystic kidney disease|polycystic kidneys]], and rare familial tumor syndromes of the kidney (e.g., [[Von Hippel-Lindau Disease|von Hippel-Lindau]]) or urothelium (e.g., [[Lynch syndrome]]) also may be informative.<ref name="Campell">{{cite book | last = Wein | first = Alan | title = Campbell-Walsh urology | publisher = Elsevier | location = Philadelphia, PA | year = 2016 | isbn = 978-1455775675 }}</ref> | ||
==History== | ==History== | ||
Revision as of 19:11, 15 December 2016
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Steven C. Campbell, M.D., Ph.D. Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S [1]
Overview
History and symptoms of hematuria depends on the eitology. The history should also include an assessment of associated symptoms, such as gross hematuria, voiding symptoms, or flank pain. Patients' risk factors for known causes of hematuria also should be queried. It is important to know the patient's urologic history, particularly any surgeries or febrile UTIs. It is also critical to ask about the patient's general medical history, to identify potentially contributory diagnoses, such as hypertension, renal insufficiency, bleeding disorders, or sickle cell disease. Current medication use, including anticoagulants and antiplatelet therapies, should be elicited, along with recent coagulation values and any concomitant medications that would potentiate the effects of blood thinners. Family history of nephritis, polycystic kidneys, and rare familial tumor syndromes of the kidney (e.g., von Hippel-Lindau) or urothelium (e.g., Lynch syndrome) also may be informative.[1]
History
In assessing the underlying cause of hematuria, the patient should be asked the following questions:
- Has the patient passed any blood clots?
- Has a kidney stone been passed? Did the patient hear a noise in toilet bowl?
- Is the red color mixed in completely, or does the color change during an episode of urination?
- Does it occur only after getting up?
- Has the patient recently had a sore throat?
Symptoms
- Passing blood clots or urine appear red in color.
- Passing stones in urine.
- Occurring in the early morning void or whole day.
- Recent infection or a recent sore throat.
References
- ↑ Wein, Alan (2016). Campbell-Walsh urology. Philadelphia, PA: Elsevier. ISBN 978-1455775675.