SlideShare une entreprise Scribd logo
1  sur  54
Télécharger pour lire hors ligne
Hematuria & obstructive Uropathy,[object Object]
Hematuria,[object Object]
 Physical Examination of Urine,[object Object],an evaluation of color, turbidity, specific gravity and osmolality, and pH.,[object Object]
Hematuria and obstructive uropathy
Urinary dipstick,[object Object],[object Object]
 The reagent strip that detects blood utilizes hydrogen peroxide, which catalyzes a chemical reaction between hemoglobin (or myoglobin) and the chromogentetramethylbenzidine
Different shades of blue-green are produced according to the concentration of hemoglobin in the urine ,[object Object]
Centrifuged urine,[object Object]
Centrifuged urine,[object Object],In hemoglobinuria, the supernatant will be pink. This is because free hemoglobin in the serum binds to haptoglobin, which is water insoluble and has a high molecular weight. This complex remains in the serum, causing a pink color. Free hemoglobin will appear in the urine only when all of the haptoglobin-binding sites have been saturated. ,[object Object]
Centrifuged urine,[object Object],In myoglobinuria, the myoglobin released from muscle is of low molecular weight and water soluble. It does not bind to haptoglobin and is therefore excreted immediately into the urine. Therefore, in myoglobinuria the serum remains clear.,[object Object]
Quantity of Hematuria,[object Object],Microscopic Hematuria : ,[object Object],	seen only under microscope,[object Object],Gross Hematuria : ,[object Object],	visible, urine is pink, cola, red,[object Object],5 times the number of life-threatening conditions when compared with patients with microscopic hematuria.,[object Object]
How to evaluate hematuria?,[object Object],By asking question,[object Object],[object Object]
At what time during urination does the hematuria occur (beginning or end of stream or during entire stream)?
Is the hematuria associated with pain?
Is the patient passing clots?
If the patient is passing clots, do the clots have a specific shape? ,[object Object]
Total Hematuria,[object Object],Terminal Hematuria,[object Object],Initial Hematuria,[object Object]
Pain,[object Object],[object Object]
Painful micturition
inflammation of the bladder or prostate.
Colicky groin pain
ureteral calculus.
Burning pain in the penis or urethral opening in women
urinary infection.
Pain in the perineum associated with dysuria, fever, and rigors
seen in prostatitis.
Constant dull flank pain
sign of advanced RCC,[object Object]
Clots,[object Object],The presence of clots usually indicates a more significant degree of hematuria, and, accordingly, the probability of identifying significant urologic pathology increases.,[object Object]
Shape of Clots,[object Object],[object Object]
Vermiform (wormlike) clots, particularly if associated with flank pain : the upper urinary tract : ureter,[object Object]
Causes of Hematuria,[object Object],[object Object]
PCKD, Hematologic abnormalities
Trauma
Neoplasm
Benign or malignant
Infection/Inflammation
Metabolic
Stone
Miscellaneous
Drug,[object Object]
Hematuria and obstructive uropathy
Hematuria and obstructive uropathy
Glomerular Hematuria,[object Object],[object Object]
IgA nephropathy (Berger's disease)
Familial nephritis or Alport's syndrome
Goodpasture's syndrome
Systemic Lupus erythematosus
Poststreptococcalglomerulonephritis,[object Object]
Non-glomerular Hematuria ,[object Object],Characterized by circular erythrocytes and the absence of erythrocyte casts,[object Object]
An algorithm for the evaluation of nonglomerular hematuria,[object Object]
Work –up : Laboratory Studies,[object Object],[object Object]
Phase contrast microscopy
BUN/serum creatinine: Elevated levels of BUN and creatinine suggest significant renal disease as the cause of hematuria

Contenu connexe

Tendances (20)

Investigations of Urology
Investigations of UrologyInvestigations of Urology
Investigations of Urology
 
Approach to hematuria
Approach to hematuriaApproach to hematuria
Approach to hematuria
 
Hematuria
HematuriaHematuria
Hematuria
 
Testicular torsion
Testicular torsionTesticular torsion
Testicular torsion
 
Hematuria - evaluation and management
Hematuria - evaluation and managementHematuria - evaluation and management
Hematuria - evaluation and management
 
Evaluation of hematuria
Evaluation of hematuria Evaluation of hematuria
Evaluation of hematuria
 
Haematuria
HaematuriaHaematuria
Haematuria
 
Hematuria
HematuriaHematuria
Hematuria
 
Haematuria - Final Year Lecture
Haematuria -  Final Year LectureHaematuria -  Final Year Lecture
Haematuria - Final Year Lecture
 
Hematuria class
Hematuria classHematuria class
Hematuria class
 
SCROTAL SWELLING
SCROTAL SWELLINGSCROTAL SWELLING
SCROTAL SWELLING
 
Scrotal swellings
Scrotal swellingsScrotal swellings
Scrotal swellings
 
Obstructive Uropathy "online"
Obstructive Uropathy "online"Obstructive Uropathy "online"
Obstructive Uropathy "online"
 
Bladder stones
Bladder stones Bladder stones
Bladder stones
 
Investigations in urology
Investigations in urologyInvestigations in urology
Investigations in urology
 
Hematuria copy
Hematuria   copyHematuria   copy
Hematuria copy
 
Evaluation of the patient with benign Prostatic Hyperplasia(BPH)
Evaluation of the patient with benign Prostatic Hyperplasia(BPH)Evaluation of the patient with benign Prostatic Hyperplasia(BPH)
Evaluation of the patient with benign Prostatic Hyperplasia(BPH)
 
Hematuria approch
Hematuria approchHematuria approch
Hematuria approch
 
Posterior urethral valves- Pediatric Surgery
Posterior urethral valves- Pediatric SurgeryPosterior urethral valves- Pediatric Surgery
Posterior urethral valves- Pediatric Surgery
 
Urethral injury
Urethral injuryUrethral injury
Urethral injury
 

En vedette

Obstructive uropathy
Obstructive uropathyObstructive uropathy
Obstructive uropathyPius Musau
 
6 obstructive uropathy,acute urinary retention,hematuria
6 obstructive uropathy,acute urinary retention,hematuria6 obstructive uropathy,acute urinary retention,hematuria
6 obstructive uropathy,acute urinary retention,hematuriaHabrol Afzam
 
Urinary Tract Obstruction
Urinary Tract ObstructionUrinary Tract Obstruction
Urinary Tract ObstructionBayu_F_Wibowo
 
Urinary Outflow Obstruction
Urinary Outflow ObstructionUrinary Outflow Obstruction
Urinary Outflow ObstructionDr Harim Mohsin
 
BPH and obstructive uropathy
BPH and obstructive uropathy BPH and obstructive uropathy
BPH and obstructive uropathy Ahmed Tawfeek
 
Antenatal counselling and postnatal management of obstructive uropathy dr. ra...
Antenatal counselling and postnatal management of obstructive uropathy dr. ra...Antenatal counselling and postnatal management of obstructive uropathy dr. ra...
Antenatal counselling and postnatal management of obstructive uropathy dr. ra...Ramesh Santhanakrishnan
 
Hydronephrosis for students
Hydronephrosis for studentsHydronephrosis for students
Hydronephrosis for studentsMohammad Manzoor
 
Ckd&obstr uropathypnan,ifejan2012
Ckd&obstr uropathypnan,ifejan2012Ckd&obstr uropathypnan,ifejan2012
Ckd&obstr uropathypnan,ifejan2012drzin
 
Evaluation of Obstructive Uropathy with Computed Tomography Urography and Mag...
Evaluation of Obstructive Uropathy with Computed Tomography Urography and Mag...Evaluation of Obstructive Uropathy with Computed Tomography Urography and Mag...
Evaluation of Obstructive Uropathy with Computed Tomography Urography and Mag...iosrjce
 
Obstructive uropathy presenting as primary enuresis – A case report
Obstructive uropathy presenting as primary enuresis – A case reportObstructive uropathy presenting as primary enuresis – A case report
Obstructive uropathy presenting as primary enuresis – A case reportApollo Hospitals
 
Hepatorenal syndrome
Hepatorenal syndromeHepatorenal syndrome
Hepatorenal syndromeheyraghul
 
Etiopathogenesis, Evaluation & Management of Posterior Urethral Valve
Etiopathogenesis, Evaluation & Management of Posterior Urethral ValveEtiopathogenesis, Evaluation & Management of Posterior Urethral Valve
Etiopathogenesis, Evaluation & Management of Posterior Urethral ValveShubham Lavania
 
Abdominal access presentation
Abdominal access presentationAbdominal access presentation
Abdominal access presentationVernon Pashi
 
Bladder outlet obstruction in children
Bladder outlet obstruction in childrenBladder outlet obstruction in children
Bladder outlet obstruction in childrenVernon Pashi
 

En vedette (20)

Obstructive uropathy
Obstructive uropathyObstructive uropathy
Obstructive uropathy
 
Obstructive uropathy
Obstructive uropathyObstructive uropathy
Obstructive uropathy
 
6 obstructive uropathy,acute urinary retention,hematuria
6 obstructive uropathy,acute urinary retention,hematuria6 obstructive uropathy,acute urinary retention,hematuria
6 obstructive uropathy,acute urinary retention,hematuria
 
Urinary Tract Obstruction
Urinary Tract ObstructionUrinary Tract Obstruction
Urinary Tract Obstruction
 
Obstructive uropathy+urolithias
Obstructive uropathy+urolithiasObstructive uropathy+urolithias
Obstructive uropathy+urolithias
 
Urinary Outflow Obstruction
Urinary Outflow ObstructionUrinary Outflow Obstruction
Urinary Outflow Obstruction
 
BPH and obstructive uropathy
BPH and obstructive uropathy BPH and obstructive uropathy
BPH and obstructive uropathy
 
Antenatal counselling and postnatal management of obstructive uropathy dr. ra...
Antenatal counselling and postnatal management of obstructive uropathy dr. ra...Antenatal counselling and postnatal management of obstructive uropathy dr. ra...
Antenatal counselling and postnatal management of obstructive uropathy dr. ra...
 
Hydronephrosis for students
Hydronephrosis for studentsHydronephrosis for students
Hydronephrosis for students
 
Ckd&obstr uropathypnan,ifejan2012
Ckd&obstr uropathypnan,ifejan2012Ckd&obstr uropathypnan,ifejan2012
Ckd&obstr uropathypnan,ifejan2012
 
Evaluation of Obstructive Uropathy with Computed Tomography Urography and Mag...
Evaluation of Obstructive Uropathy with Computed Tomography Urography and Mag...Evaluation of Obstructive Uropathy with Computed Tomography Urography and Mag...
Evaluation of Obstructive Uropathy with Computed Tomography Urography and Mag...
 
Obstructive uropathy presenting as primary enuresis – A case report
Obstructive uropathy presenting as primary enuresis – A case reportObstructive uropathy presenting as primary enuresis – A case report
Obstructive uropathy presenting as primary enuresis – A case report
 
Urinary schistosomiasis
Urinary schistosomiasis Urinary schistosomiasis
Urinary schistosomiasis
 
Obstructive uropathy in neonates
Obstructive uropathy in neonatesObstructive uropathy in neonates
Obstructive uropathy in neonates
 
Hepatorenal syndrome
Hepatorenal syndromeHepatorenal syndrome
Hepatorenal syndrome
 
Etiopathogenesis, Evaluation & Management of Posterior Urethral Valve
Etiopathogenesis, Evaluation & Management of Posterior Urethral ValveEtiopathogenesis, Evaluation & Management of Posterior Urethral Valve
Etiopathogenesis, Evaluation & Management of Posterior Urethral Valve
 
Abdominal access presentation
Abdominal access presentationAbdominal access presentation
Abdominal access presentation
 
Bladder outlet obstruction in children
Bladder outlet obstruction in childrenBladder outlet obstruction in children
Bladder outlet obstruction in children
 
Hematuria
HematuriaHematuria
Hematuria
 
Hematuria
HematuriaHematuria
Hematuria
 

Similaire à Hematuria and obstructive uropathy

Similaire à Hematuria and obstructive uropathy (20)

Urology
UrologyUrology
Urology
 
Haematuria presentation.pptx
Haematuria presentation.pptxHaematuria presentation.pptx
Haematuria presentation.pptx
 
evaluation of hematuria ppt.pptx
evaluation of hematuria ppt.pptxevaluation of hematuria ppt.pptx
evaluation of hematuria ppt.pptx
 
Nephrolithiasis and Pyelonephritis
Nephrolithiasis and PyelonephritisNephrolithiasis and Pyelonephritis
Nephrolithiasis and Pyelonephritis
 
seminar on Haematuria
seminar on Haematuriaseminar on Haematuria
seminar on Haematuria
 
Evaluation of the patient with hematuria.
Evaluation of the patient with hematuria.Evaluation of the patient with hematuria.
Evaluation of the patient with hematuria.
 
Hematuria in children
Hematuria in childrenHematuria in children
Hematuria in children
 
Urinary system disorders.pptx1
Urinary system disorders.pptx1Urinary system disorders.pptx1
Urinary system disorders.pptx1
 
urinalysis
urinalysisurinalysis
urinalysis
 
Haematuria
HaematuriaHaematuria
Haematuria
 
Approach to a child with hematuria
Approach to a child  with hematuriaApproach to a child  with hematuria
Approach to a child with hematuria
 
Approach to a patient with haematuria_015210.pptx
Approach to a patient with haematuria_015210.pptxApproach to a patient with haematuria_015210.pptx
Approach to a patient with haematuria_015210.pptx
 
Approach to a patient with haematuria_015210.pptx
Approach to a patient with haematuria_015210.pptxApproach to a patient with haematuria_015210.pptx
Approach to a patient with haematuria_015210.pptx
 
Hematuria and acute glomeulonephritis
Hematuria and acute glomeulonephritisHematuria and acute glomeulonephritis
Hematuria and acute glomeulonephritis
 
Portal hypertension
Portal hypertension Portal hypertension
Portal hypertension
 
3. ASCITES part 1.pdf
3. ASCITES part 1.pdf3. ASCITES part 1.pdf
3. ASCITES part 1.pdf
 
10714657.ppt
10714657.ppt10714657.ppt
10714657.ppt
 
Diseases of the liver
Diseases of the liverDiseases of the liver
Diseases of the liver
 
Hovhannisyan HS_Propaedeutics of HBS.pdf
Hovhannisyan HS_Propaedeutics of HBS.pdfHovhannisyan HS_Propaedeutics of HBS.pdf
Hovhannisyan HS_Propaedeutics of HBS.pdf
 
Liver Powerpoint
Liver PowerpointLiver Powerpoint
Liver Powerpoint
 

Dernier

How to Use api.constrains ( ) in Odoo 17
How to Use api.constrains ( ) in Odoo 17How to Use api.constrains ( ) in Odoo 17
How to Use api.constrains ( ) in Odoo 17Celine George
 
5 charts on South Africa as a source country for international student recrui...
5 charts on South Africa as a source country for international student recrui...5 charts on South Africa as a source country for international student recrui...
5 charts on South Africa as a source country for international student recrui...CaraSkikne1
 
CAULIFLOWER BREEDING 1 Parmar pptx
CAULIFLOWER BREEDING 1 Parmar pptxCAULIFLOWER BREEDING 1 Parmar pptx
CAULIFLOWER BREEDING 1 Parmar pptxSaurabhParmar42
 
Presentation on the Basics of Writing. Writing a Paragraph
Presentation on the Basics of Writing. Writing a ParagraphPresentation on the Basics of Writing. Writing a Paragraph
Presentation on the Basics of Writing. Writing a ParagraphNetziValdelomar1
 
How to Show Error_Warning Messages in Odoo 17
How to Show Error_Warning Messages in Odoo 17How to Show Error_Warning Messages in Odoo 17
How to Show Error_Warning Messages in Odoo 17Celine George
 
How to Add a New Field in Existing Kanban View in Odoo 17
How to Add a New Field in Existing Kanban View in Odoo 17How to Add a New Field in Existing Kanban View in Odoo 17
How to Add a New Field in Existing Kanban View in Odoo 17Celine George
 
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRADUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRATanmoy Mishra
 
Maximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdf
Maximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdfMaximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdf
Maximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdfTechSoup
 
UKCGE Parental Leave Discussion March 2024
UKCGE Parental Leave Discussion March 2024UKCGE Parental Leave Discussion March 2024
UKCGE Parental Leave Discussion March 2024UKCGE
 
The basics of sentences session 10pptx.pptx
The basics of sentences session 10pptx.pptxThe basics of sentences session 10pptx.pptx
The basics of sentences session 10pptx.pptxheathfieldcps1
 
How to Add a many2many Relational Field in Odoo 17
How to Add a many2many Relational Field in Odoo 17How to Add a many2many Relational Field in Odoo 17
How to Add a many2many Relational Field in Odoo 17Celine George
 
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptx
Clinical Pharmacy  Introduction to Clinical Pharmacy, Concept of clinical pptxClinical Pharmacy  Introduction to Clinical Pharmacy, Concept of clinical pptx
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptxraviapr7
 
Patient Counselling. Definition of patient counseling; steps involved in pati...
Patient Counselling. Definition of patient counseling; steps involved in pati...Patient Counselling. Definition of patient counseling; steps involved in pati...
Patient Counselling. Definition of patient counseling; steps involved in pati...raviapr7
 
3.21.24 The Origins of Black Power.pptx
3.21.24  The Origins of Black Power.pptx3.21.24  The Origins of Black Power.pptx
3.21.24 The Origins of Black Power.pptxmary850239
 
Quality Assurance_GOOD LABORATORY PRACTICE
Quality Assurance_GOOD LABORATORY PRACTICEQuality Assurance_GOOD LABORATORY PRACTICE
Quality Assurance_GOOD LABORATORY PRACTICESayali Powar
 
Education and training program in the hospital APR.pptx
Education and training program in the hospital APR.pptxEducation and training program in the hospital APR.pptx
Education and training program in the hospital APR.pptxraviapr7
 
PISA-VET launch_El Iza Mohamedou_19 March 2024.pptx
PISA-VET launch_El Iza Mohamedou_19 March 2024.pptxPISA-VET launch_El Iza Mohamedou_19 March 2024.pptx
PISA-VET launch_El Iza Mohamedou_19 March 2024.pptxEduSkills OECD
 
2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx
2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx
2024.03.23 What do successful readers do - Sandy Millin for PARK.pptxSandy Millin
 
How to Make a Field read-only in Odoo 17
How to Make a Field read-only in Odoo 17How to Make a Field read-only in Odoo 17
How to Make a Field read-only in Odoo 17Celine George
 
Diploma in Nursing Admission Test Question Solution 2023.pdf
Diploma in Nursing Admission Test Question Solution 2023.pdfDiploma in Nursing Admission Test Question Solution 2023.pdf
Diploma in Nursing Admission Test Question Solution 2023.pdfMohonDas
 

Dernier (20)

How to Use api.constrains ( ) in Odoo 17
How to Use api.constrains ( ) in Odoo 17How to Use api.constrains ( ) in Odoo 17
How to Use api.constrains ( ) in Odoo 17
 
5 charts on South Africa as a source country for international student recrui...
5 charts on South Africa as a source country for international student recrui...5 charts on South Africa as a source country for international student recrui...
5 charts on South Africa as a source country for international student recrui...
 
CAULIFLOWER BREEDING 1 Parmar pptx
CAULIFLOWER BREEDING 1 Parmar pptxCAULIFLOWER BREEDING 1 Parmar pptx
CAULIFLOWER BREEDING 1 Parmar pptx
 
Presentation on the Basics of Writing. Writing a Paragraph
Presentation on the Basics of Writing. Writing a ParagraphPresentation on the Basics of Writing. Writing a Paragraph
Presentation on the Basics of Writing. Writing a Paragraph
 
How to Show Error_Warning Messages in Odoo 17
How to Show Error_Warning Messages in Odoo 17How to Show Error_Warning Messages in Odoo 17
How to Show Error_Warning Messages in Odoo 17
 
How to Add a New Field in Existing Kanban View in Odoo 17
How to Add a New Field in Existing Kanban View in Odoo 17How to Add a New Field in Existing Kanban View in Odoo 17
How to Add a New Field in Existing Kanban View in Odoo 17
 
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRADUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
 
Maximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdf
Maximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdfMaximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdf
Maximizing Impact_ Nonprofit Website Planning, Budgeting, and Design.pdf
 
UKCGE Parental Leave Discussion March 2024
UKCGE Parental Leave Discussion March 2024UKCGE Parental Leave Discussion March 2024
UKCGE Parental Leave Discussion March 2024
 
The basics of sentences session 10pptx.pptx
The basics of sentences session 10pptx.pptxThe basics of sentences session 10pptx.pptx
The basics of sentences session 10pptx.pptx
 
How to Add a many2many Relational Field in Odoo 17
How to Add a many2many Relational Field in Odoo 17How to Add a many2many Relational Field in Odoo 17
How to Add a many2many Relational Field in Odoo 17
 
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptx
Clinical Pharmacy  Introduction to Clinical Pharmacy, Concept of clinical pptxClinical Pharmacy  Introduction to Clinical Pharmacy, Concept of clinical pptx
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptx
 
Patient Counselling. Definition of patient counseling; steps involved in pati...
Patient Counselling. Definition of patient counseling; steps involved in pati...Patient Counselling. Definition of patient counseling; steps involved in pati...
Patient Counselling. Definition of patient counseling; steps involved in pati...
 
3.21.24 The Origins of Black Power.pptx
3.21.24  The Origins of Black Power.pptx3.21.24  The Origins of Black Power.pptx
3.21.24 The Origins of Black Power.pptx
 
Quality Assurance_GOOD LABORATORY PRACTICE
Quality Assurance_GOOD LABORATORY PRACTICEQuality Assurance_GOOD LABORATORY PRACTICE
Quality Assurance_GOOD LABORATORY PRACTICE
 
Education and training program in the hospital APR.pptx
Education and training program in the hospital APR.pptxEducation and training program in the hospital APR.pptx
Education and training program in the hospital APR.pptx
 
PISA-VET launch_El Iza Mohamedou_19 March 2024.pptx
PISA-VET launch_El Iza Mohamedou_19 March 2024.pptxPISA-VET launch_El Iza Mohamedou_19 March 2024.pptx
PISA-VET launch_El Iza Mohamedou_19 March 2024.pptx
 
2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx
2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx
2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx
 
How to Make a Field read-only in Odoo 17
How to Make a Field read-only in Odoo 17How to Make a Field read-only in Odoo 17
How to Make a Field read-only in Odoo 17
 
Diploma in Nursing Admission Test Question Solution 2023.pdf
Diploma in Nursing Admission Test Question Solution 2023.pdfDiploma in Nursing Admission Test Question Solution 2023.pdf
Diploma in Nursing Admission Test Question Solution 2023.pdf
 

Hematuria and obstructive uropathy