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Blood in the Urine

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Blood in the Urine


Leo Leonidas MD, FAAP

WARNING, WARNING, WARNING; This section is for my Tufts University medical students. If you are a "worrier" type or a very anxious parent, please talk to your clinician about your child's problem or symptoms, rather than reading this differential diagnosis.

CAUSES OF BLOOD IN THE URINE

INFECTIOUS DISEASES

Pyelonephritis
Nephritis Associated with Infections
Renal Tuberculosis
Hemorrhagic Cystitis
Urethropostatitis
Chlamydia
N. Gonorrhoeae
Schistosomiasis

IMMUNOLOGIC INJURY

Acute Glomerulonephritis
Primary Persistent Glomerulonehpritis
Henoch-Schonlein Disease
Systemic Lupus Erythematosus
Polyarteritis Nodosa
Subacute Bacterial Endocarditis
Goodpasture Syndrome
Nephrotic Syndrome
"Shunt" Nephritis (Ventriculojugular Shunt)
Wagener Granulomatosis

FAMILIAL & CONGENITAL URINARY TRACT DISORDER

Chronic Hereditary Nephritis
Benign Familial Hematuria
Polycystic Disease of the Kidney
Congenital Urinary Tract Abnormalities
Nail-Patella Syndrome

NEOPLASTIC DISEASES

Renal Neoplasms
Leukemia
Bladder Tumors

BLEEDING DISORDERS

Coagulation Disorders
Hemoglobinopathies

VASCULAR ABNORMALITIES
Hemangiomas
Hereditary Hemorrhagic Telangiectasia
Renal Vein Thrombosis
Varices of the Renal Pelvis or Ureter

URINARY TRACT INJURY

Direct Trauma
Indirect Trauma
Drug Induced Injury
Renal Stones
Foreign Bodies
Meatal Or Perineal Excoriations
Masturbation
Prolopsed Urethra

OTHER CAUSES

Hypercalciuria
Exercise
Hydronephrosis
Hemolytic Uremic Syndrome
Allergy
Polyps
Congestive Heart Failure
Scurvy
Emotional Factors
Sarcoidosis
Idiopathic Hematuria

MIMIC OF HEMATURIA

Urate Crystals
Hemoglobinuria
Myoglobinuria
Porphyrinuria
"Beeturia"
Biliuria
Povidone-Iodine
Drugs
Food Dye
Red Diaper Syndrome


Reference:

Signs & Symptoms In Pediatrics
2nd Edition, page 421
Tunnessen, Jr

Belly Pain   Air Leaks From Lungs   Acute Crying   Back Pain   Bed Wetting   Big Lymph Node   Big Spleen   Blood in Urine Chronic Diarrhea   Chest Pain   Cough   Coughing Up Blood   Constipation Droopy Eye   Enlarged Glands   Eye Swelling   Excessive Thrist   Facial Paralysis   Fainting Spell   Feeding Problem GI Bleeding   Headache   Head Tilt   Hives   High ESR   Hoarseness   Joint Pain   Limp   Leg Pain   Muscle Weakness   Noisy Breathing   Nose Bleeding   Nose Obstruction   Pyuria   Recurrent Infection   Red Green Urine   Ringing in the Ears Scrotal Swelling     Seizures   Stiff Neck   Swelling of the Parotic Gland   Toe Walking   Toeing In   Toeing Out   Unequal Pupils   Vomiting   Wheezing


 

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