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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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