From the Research
Renal Hypoperfusion and Hematuria
- There is limited evidence to suggest a direct link between renal hypoperfusion and hematuria 1.
- A case study reported a patient with bilateral renal hypoperfusion following a motor vehicle accident, but the patient did not exhibit hematuria 1.
- Hematuria is a common clinical manifestation of diseases affecting the urinary system, and its causes include urinary tract infection, urolithiasis, malignancies, benign prostatic hyperplasia, and nephropathies 2, 3.
- Glomerular hematuria is a cardinal symptom of renal disease, and it may be classified as microhematuria or macrohematuria according to the number of red blood cells in urine 4.
Diagnosis and Management of Hematuria
- The diagnosis of hematuria involves taking a patient history, performing a routine urine dipstick test, and microscopic urinalysis 2, 3, 5.
- Clinical presentation and urine microscopy can differentiate glomerular from non-glomerular hematuria 5.
- The management of hematuria usually involves resolving the underlying disorder, and persistent microscopic hematuria indicates the presence of a renal disease that warrants close monitoring and evaluation 5.