Monday, March 10, 2008

Hematuria

Overview normal urine or occasionally no individual RBC RBC. If centrifugal sedimentation after the urine, under the microscope every HPF a red blood cell, two more can be described as hematuria (hematuria). Hematuria light color normal urine, subject to microscopic examination could not be ascertained, said microscopic hematuria. Severe urine showed they were washing meat or redness of the skin color, saying gross hematuria. Cause pathogenesis one. Urinary system diseases, such as urinary organ inflammation, stones, tumors, diverticulitis, polyps, or abnormal vascular anomalies, parasitic disease, trauma, etc., which is the most common causes of hematuria. 2. Urinary tract adjacent organs diseases such as prostatitis, acute appendicitis, acute pelvic inflammatory disease, such as rectal colon cancer. 3. Systemic diseases ① infections : infections such as endocarditis, septicemia, epidemic hemorrhagic fever, scarlet fever, leptospirosis, filariasis; ② blood disease : If ITP, Henoch - Schonlein purpura, leukemia, hemophilia; ③ connective tissue disease : such as systemic lupus erythematosus, nodular polyarteritis nodosa; ④ cardiovascular disease : If the aggressive type of hypertension, renal bleeding, and Renal artery embolization, renal infarction. 4. Drug and chemical factors such as sulfonamides, and anticoagulants, cyclophosphamide, mercury agent, mannitol, Mylabris the side effects or toxicity. 5. Other campaign hematuria. A clinical performance. With renal colic were originated in stone, cheese substances, such as blood clots in urinary tract obstruction. 2. Irritative symptoms associated with bladder (urinary frequency, urgency and urge irritation), suggested lesions in the posterior urethra or bladder. 3. With hypertension were seen in acute and chronic glomerulonephritis, aggressive type of hypertension, congenital polycystic kidney disease. Renal artery embolization, nodular rheumatoid more artery. 4. With waist mass were found in renal tumors, congenital polycystic kidney disease. 5. With skin bleeding, can be found in the septic infection endocarditis, epidemic hemorrhagic fever, leptospirosis, blood disease. Treatment 1. Oral stability 5mg three times daily, starting sedation. 2. Right renal colic, will be given atropine ,654-2 drugs such as spasm. 3. Right anterior urethral bleeding, the pressure will be available fingers bleeding. 4. Speed went to the hospital to identify the reasons for bleeding.

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