What are the methods of diagnosis of hematuria following is on the diagnosis of hematuria Intro?
First, according to symptoms associated with hematuria distinguish between different hematuria, hematuria accompanied if urinary frequency, urgency, dysuria, especially dysuria, especially for urinary tract infection, stones, etc., known to have pain hematuria. If hematuria is not accompanied by dysuria, called painless hematuria, nephritis, renal tuberculosis, urinary tract tumors is very common, especially in elderly patients with gross hematuria was fast, it should be noted that all aspects of the inspection to exclude malignant lesions.
Hematuria associated with other systemic symptoms, which can also be the cause of the difference between hematuria. Currently used in the examination of urine red cell morphology to determine the origin of hematuria, which is about 90% .The specific measures taken after centrifugation of urine, placed on glass slides using contrast microscope phase for the morphology of red blood cells in urine. Glomerular hematuria, urinary the RBCs, the RBCs red blood cells that show a variety of shapes such as donut, strawberry, similar drop, and red blood cells, even broken warp, suggesting that hematuria is caused due to glomerular lesions. Glomerular hematuria, red blood cells in the urine mostly normal or substantially normal.
In addition, hematuria and hemoglobinuria should be differentiated. Hemoglobinuria was the result of hemolytic disease, increased concentration of free plasma hemoglobin, crossed the threshold of kidney GFR and urine. Hemoglobinuria colors can be red, brown or even black color. The identification is mainly based on microscopic examination of urine, hematuria, urine contains a large number of red blood cells and hemoglobin in the urine without red blood cells, which is the fundamental difference between the two.
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