the lab report reveals "hematuria" for the patient james jones. what does this indicate?

by Jules Corkery 10 min read

Hematuria - StatPearls - NCBI Bookshelf

27 hours ago  · Hematuria is the presence of blood in the urine. Hematuria can be gross or microscopic. Gross hematuria is visible blood in the urine. Microscopic hematuria refers to the detection of blood on urinalysis or urine microscopy. Hematuria can be intermittent or persistent. Hematuria is defined as the presence of at least 5 red blood cells/HPF in 3 of 3 consecutive … >> Go To The Portal


Common Causes

Cystoscopy:After ruling out urinary tract infection and having negative imaging of kidneys and ureters to detect any abnormality, cystoscopy by a urologist is the next step in the evaluation of hematuria. It can detect urothelial carcinoma, bladder wall inflammation or mucosal thickening. It can also be therapeutic to remove bladder stones.

Related Conditions

Health Teaching and Health Promotion Clinicians including the nurse practitioner should inform the parents that hematuria by itself should not prevent the child from undertaking sporting activities, however, the type of activity should be regulated. The pharmacist should educate the patients on some medications that may cause hematuria.

What are the tests for hematuria?

Summarize the workup of a patient with hematuria Recall the nursing management of a patient with hematuria Introduction Hematuria is the presence of blood in the urine. Hematuria can be gross or microscopic.

What should be included in patient education about hematuria?

A female patient reports hematuria and a urine dipstick and culture indicate a urinary tract infection. After treatment for the UTI, what testing is indicated for this patient? C. c. No testing if hematuria is resolved A primary care provider sees a new patient who reports having a diagnosis of chronic kidney disease for several years.

What is hematuria in nursing?

What does hematuria and a urine dipstick and culture indicate?

What is the differential diagnosis of hematuria?

Causes and differential diagnosis Among the most common causes of hematuria are infections of the lower urinary tract, especially the bladder. Other causes to consider are stones (urolithiasis) and, especially in older patients, tumors or benign prostatic hyperplasia (Figure 1).

What is the most common reason for hematuria?

Urinary tract infections (UTIs) are the most common cause of hematuria. Since the urinary tract is composed of the bladder, ureters, and kidneys, a UTI refers to an infection anywhere in that system. A bladder infection is called cystitis, and a kidney infection is called pyelonephritis.

What indicates hematuria?

Hematuria is the presence of blood in a person's urine. Gross hematuria is when a person can see the blood in his or her urine, and microscopic hematuria is when a person cannot see the blood in his or her urine, yet a health care professional can see it under a microscope.

Why is there hematuria in UTI?

When you have a UTI, the bacteria infect the lining of your urinary tract. This leads to inflammation and irritation, causing red blood cells to leak into your urine. If there's a tiny amount of blood in your urine, it won't be visible to the naked eye. This is called microscopic hematuria.

How common is hematuria?

Hematuria may be visible with the naked eye (gross hematuria) or visible only under a microscope (microscopic hematuria). The urine may look normal in patients who have have microscopic hematuria. Hematuria is common, seen in 2% to 30% of the adult population.

How serious is hematuria?

While in many instances the cause is harmless, blood in urine (hematuria) can indicate a serious disorder. Blood that you can see is called gross hematuria. Urinary blood that's visible only under a microscope (microscopic hematuria) is found when your doctor tests your urine.

Is hematuria an emergency?

Gross hematuria is among the urologic emergency conditions that should be assessed immediately. It is characterized by blood in the urine that is clearly seen by the naked eye. Blood can range in color from bright red to brown, and is symptomatic of an underlying medical condition.

Can dehydration cause hematuria?

Not drinking enough water can turn your urine a dark color, but mild dehydration in itself generally doesn't cause hematuria. Severe or frequent dehydration can weaken and damage your kidneys and lead to bloody urine, though.

How to diagnose hematuria?

Health care professionals diagnose hematuria with a urine test called urinalysis. If two of three urine samples detect too many red blood cells, a health care professional may order one or more additional tests. Health care professionals treat hematuria by treating its underlying cause.

What is hematuria in medical terms?

What is hematuria? Hematuria is the presence of blood in a person’s urine. The two types of hematuria are. gross hematuria—when a person can see the blood in his or her urine. microscopic hematuria—when a person cannot see the blood in his or her urine, yet it is seen under a microscope. The male and female urinary tracts.

Why is my urine pink?

People who are more likely to develop hematuria may have a family history of kidney disease, have an enlarged prostate, or have bladder or kidney stones, among other reasons. People with gross hematuria have urine that is pink, red, or brown. Most people with microscopic hematuria do not have any symptoms.

How much urine does the kidneys produce?

Every day, the kidneys filter about 120 to 150 quarts of blood to produce about 1 to 2 quarts of urine , composed of wastes and extra fluid. Children produce less urine than adults. The urine flows from the kidneys to the bladder through tubes called ureters. The bladder stores urine until releasing it through urination.

What is the difference between gross hematuria and microscopic hematuria?

Hematuria is the presence of blood in a person’s urine. Gross hematuria is when a person can see the blood in his or her urine, and microscopic hematuria is when a person cannot see the blood in his or her urine, yet a health care professional can see it under a microscope.

What is a digital rectal exam?

Digital rectal exam. A digital rectal exam is a physical exam of a man’s prostate and rectum.

What causes a person to have a walnut shaped gland?

blood-clotting disorders, such as hemophilia. sickle cell disease— a genetic disorder in which a person’s body makes abnormally shaped red blood cells.

What is it called when you see blood in your urine?

Urological cancers are rarely the cause of blood in the urine but can be life threatening. When you actually see blood in the urine, it is called "gross hematuria. ". This is much more likely to be tied to a cancer or other health issue that needs medical care.

How long does it take for a kidney to test again?

A common option is to repeat a urine test within 6 months. If that test shows blood in the urine, then more testing is performed. If the repeat test does not show blood, then the patient is simply watched for symptoms. If the patient prefers testing right away, then a cystoscopy and renal ultrasound may be performed.

What procedure is recommended for intermediate risk patients?

Patients who are told they have an intermediate risk will be recommended to have a cystoscopy procedure to look at the bladder and a renal ultrasound to look at the kidneys.

Can blood be found in urine?

Most patients with blood in the urine do not have major problems. In fact, for many, a cause is not known. In those patients with a more serious condition, finding this early can be lifesaving. It is of great value to get tested and not ignore these findings especially if blood is seen in your urine.

Can blood be seen under a microscope?

Sometimes, blood is in the urine but is not easily seen and it is called “microscopic” hematuria since it can only be seen under a microscope. During routine visits to your health care provider, you are often asked to give a urine sample for testing. Many tests are done routinely, like checking for sugar (diabetes), bacteria (infection) and blood.