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    Hematuria (1H)

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    ខ្ទឹម ក្រហម
    Hematuria, or bloody urine, can be a sign of serious conditions like kidney cancer, bladder cancer, or kidney stones. It is important to determine if the hematuria is painful, occurs throughout urination or only at the beginning/end, and whether blood is seen in all or only part of the urine stream. Certain foods or medications can also cause red urine that does not contain blood cells. Hematuria associated with pain may indicate kidney stones, while painless hematuria requires further evaluation to rule out cancers. The timing and location of hematuria can provide clues to identify the source of bleeding in the urinary tract.

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    Hematuria (1H)

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    ខ្ទឹម ក្រហម
    30 views8 pages
    Hematuria, or bloody urine, can be a sign of serious conditions like kidney cancer, bladder cancer, or kidney stones. It is important to determine if the hematuria is painful, occurs throughout urination or only at the beginning/end, and whether blood is seen in all or only part of the urine stream. Certain foods or medications can also cause red urine that does not contain blood cells. Hematuria associated with pain may indicate kidney stones, while painless hematuria requires further evaluation to rule out cancers. The timing and location of hematuria can provide clues to identify the source of bleeding in the urinary tract.

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    3. Hematuria (1H)

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    Hematuria, or bloody urine, can be a sign of serious conditions like kidney cancer, bladder cancer, or kidney stones. It is important to determine if the hematuria is painful, occurs throughout urination or only at the beginning/end, and whether blood is seen in all or only part of the urine stream. Certain foods or medications can also cause red urine that does not contain blood cells. Hematuria associated with pain may indicate kidney stones, while painless hematuria requires further evaluation to rule out cancers. The timing and location of hematuria can provide clues to identify the source of bleeding in the urinary tract.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    30 views8 pages

    Hematuria (1H)

    Uploaded by

    ខ្ទឹម ក្រហម
    Hematuria, or bloody urine, can be a sign of serious conditions like kidney cancer, bladder cancer, or kidney stones. It is important to determine if the hematuria is painful, occurs throughout urination or only at the beginning/end, and whether blood is seen in all or only part of the urine stream. Certain foods or medications can also cause red urine that does not contain blood cells. Hematuria associated with pain may indicate kidney stones, while painless hematuria requires further evaluation to rule out cancers. The timing and location of hematuria can provide clues to identify the source of bleeding in the urinary tract.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 8

    HEMATURIA

    Professor Bou Sopheap, MD


    Urologist
    Bloody Urine
    Hematuria is a danger signal that cannot be ignored.
    Carcinoma of the kidney or bladder, calculi, and
    infection are a few of the conditions in which
    hematuria is typically demonstrable at the time of
    presentation.
    It is important to know whether urination is painful
    or not, whether the hematuria is associated with st
    of vesical irritability, and whether blood is seen in all
    or only a portion of the urinary stream.

    2
    Bloody Urine
    Some individuals (particularly if the are anemic)
    pass red urine after eating beets or taking laxatives
    containing phenolphthalein, in which case the urine
    is translucent rather than opaque and contains no
    red cells.
    Because of the wide use of rhodamine B as a
    coloring agent in cookies, cakes, cold drinks, and
    fruit juices, children commonly pass red urine after
    ingestion of these foods.
    The hemoglobinuria that occurs as a feature of the
    hemolytic sd may also cause the red urine.
    3
    A-Bloody Urine in Relation to Symptoms and Diseases

    Hematuria associated with renal colic suggests a


    ureteral stone, although a clot from a bleeding
    renal tumor can cause the same type of pain.
    Hematuria is not uncommonly associated with
    non specific, tuberculous, or schistosomal
    infection of the bladder. The bleeding is often
    terminal (bladder neck or prostate), although it
    may be present throughout urination ( vesical or
    upper tract).

    4
    A-Bloody Urine in Relation to St and
    Diseases

    Stone in the UB often causes hematuria, but


    infection usually present, and there are st of BNO,
    neurologic bladder, or cystocele.
    When a tumor of the bladder ulcerates, it is often
    complicated by infection and bleeding. Thus st of
    cystitis and hematuria are also compatible with
    tumors.

    5
    A-Bloody Urine in Relation to St and Diseases

    Dilated veins may develop at the bladder neck


    secondary to enlargement of the prostate.
    These may rupture when the pt strains to urinate.
    Hematuria without other st (silent hematuria)
    must be regarded as a st of tumor of the bladder or
    kidney until proved otherwise. It is usually
    intermittent; bleeding may not recur for months.
    Complacency because the bleeding stops
    spontaneously must be condemned.
    6
    A-Bloody Urine in Relation to St and Diseases

    Less common causes of silent hematuria are


    staghorn calculus, polycystic kidneys, solitary renal
    cyst, sickle cell disease, and hydronephrosis. Painless
    bleeding is common with acute glomerulonephritis.
    Recurrent bleeding is occasionally seen in children
    suffering from focal glomerulitis.
    Joggers and people who engage in participatory
    sports frequently develop transient proteinuria and
    gross or microscopic hematuria.

    7
    B- Time of Hematuria
    Learning whether the hematuria is partial (initial,
    terminal) or total (present throughout urination) is
    often of help in identifying the site of bleeding.
    Initial hematuria suggests an ant urethral lesion (eg,
    urethritis, stricture, meatal stenosis in young boys).
    Terminal hematuria usually arises from the post
    urethra, bladder neck, or trigone.(post urethritis and
    polyps and tumors of the vesical neck.
    Total hematuria has its source at or above the level
    of the bladder (stone, tumor, TB, nephritis).
    8

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