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    Item C131A. Diagnosis of Gross Hematuria.: Clues/History Possible Diagnosis

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    Maciej Sadowski

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    Item C131A. Diagnosis of Gross Hematuria.: Clues/History Possible Diagnosis

    Uploaded by

    Maciej Sadowski
    8 views1 page

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    C131A

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    Item C131A. Diagnosis of Gross Hematuria.: Clues/History Possible Diagnosis

    Uploaded by

    Maciej Sadowski

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Item C131A. Diagnosis of gross hematuria.

    Clues/History Possible Diagnosis


    Lower tract symptoms (dysuria, UTI
    urgency, frequency, suprapubic pain)
    Recent illness (pharyngitis, impetigo, Postinfectious glomerulonephritis
    viral illness)
    Abdominal pain UTI, HSP, crystalluria/stone
    Concurrent illness IgAN
    Extreme exertion, influenza Rhabdomyolysis
    Arthralgias HSP, SLE
    Diarrhea (± bloody) HUS
    Cough, hemoptysis Vasculitis
    Hearing loss Alport disease
    Nail or patellar abnormalities Nail patella syndrome
    Sickle cell disease Glomerulonephritis, papillary
    necrosis
    Drugs (diuretics, cyclophosphamide) Stones, hemorrhagic cystitis
    Birth asphyxia Renal vein thrombosis
    Physical Findings
    Suprapubic pain UTI
    Flank pain IgAN, stones, renal vein thrombosis,
    pyelonephritis
    Rash (purpura, petechiae) HSP, SLE, HUS, bleeding dyscrasia,
    abuse
    Edema Glomerulonephritis, nephrotic
    syndrome
    Abdominal mass Wilms tumor, hydronephrosis, cystic
    kidney disease
    Conjunctivitis, pharyngitis Adenovirus (hemorrhagic cystitis)
    Meatal stenosis Infection, trauma
    Nail or patellar abnormalities Nail patella syndrome
    Family History
    Hematuria Benign familial hematuria, thin base-
    ment membrane disease
    Hearing loss or prominent history of Alport syndrome
    renal failure in males
    Cystic kidney disease Autosomal dominant polycystic
    kidney disease
    Nail/patellar abnormalities Nail patella syndrome
    Sickle cell disease or trait

    HSP=Henoch-Schönlein purpura, HUS=hemolytic-uremic syndrome, IgAN= immunoglobulin A


    nephropathy, SLE=systemic lupus erythematosus, UTI=urinary tract infection.

    Reprinted with permission from Massengil SF. Hematuria. Pediatr Rev.2008;29(10):345

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