... Cystitis is associated with frequency and urgency of micturition and painful micturition (dysuria). Macroscopic hematuria is red or brown urine, sometimes with blood clots. CBC and chemistry panel (BUN/creatinine) Urine dipstick, urinalysis and culture. Microscopic hematuria is present when microscopic inspection of at least 2 properly collected urine specimens show > 3 RBCs per high-powered field (hpf). Differential Diagnosis for UTI Differential Diagnosis I and Final Diagnosis: UTI. Painful hematuria, Dysuria suggests UTI. Painless hematuria suggests neoplasm. E. coli, Proteus or Pseudomonas are the most common microorganisms. Hematuria is caused by your kidneys allowing blood cells to leak into the urine. This differential is divided into the following categories: glomerular or nonglomerular, coagulopathy-related, traumatic, and factitio … ... dysuria, flank pain, and hematuria… A. ; The microorganisms move up along the ureters and can enter the bloodstream. Microscopic hematuria is common and has a broad differential diagnosis, ranging from completely benign causes to potentially invasive malignancy. Diagnosis and Differential Diagnosis. Many conditions can cause hematuria, but the differential diagnosis can be simplified with a systematic approach.We discuss the common causes of hematuria and how to evaluate it. Initial Workup. Rationale: Mrs. Smith’s presentation of symptoms such as abdominal pain, back pain, urinary frequency with little urine being made, dysuria, and foul-smelling urine provide rationale that … A patient is seen in the clinic with a chief complaint of hematuria. 1 Minute Read: Hematuria Differential Diagnosis. Colicky pain suggests a stone. In the differential diagnostics a distinction is made between painful and pain-free and between macrohematuria which is visible to the naked eye and microhematuria which is not visible. Artifact discoloration: dehydration, dye, food, coloring, rifampin. Dysuria may be external (i.e., urine irritating the inflamed genital organs) or internal (i.e., pain felt in the urethra). IVP, renal ultrasound. Patients may also complain of urethral discomfort not associated with micturition. The differential diagnosis of hematuria is often divided into microscopic hematuria or macroscopic hematuria. Differential Diagnosis 1 ACUTE PYELONEPHRITIS Pathogenesis: Acute pyelonephritis is an infection found in the upper urinary tracts. The emergency physician can expect to commonly evaluate patients with hematuria, and the differential diagnosis will include both benign and life-threatening causes. Note clinical signs, history, and variations in hematuria based on the collection method. Hematuria (haematuria) is the presence of red blood cells in the urine. ... A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. The reasons for hematuria are basical … Hematuria is the main symptom of many urological and nephrological diseases. She is diagnosed with acute pyelonephritis. Increased frequency and dysuria in a patient with hematuria may point to a urinary tract infection or uroepithelial malignancy . Identifying signs of systemic disease, urination frequency, and dysuria can help establish whether the hematuria more likely originates from the upper urinary tract, lower urinary tract, or genital tract. Dysuria refers to discomfort, burning, or sensation of pain during micturition. Vaginal bleeding, genital or perineal trauma. Differential Diagnosis. How should this patient be managed? To make a differential diagnosis, which of the following questions should be asked? Intermittent hematuria or proteinuria is an occasional finding in some children, but it should be noted that low-grade proteinuria and hematuria occasionally occur in normal children.

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