Equis ISSN 2398-2977

Urine: hematuria

Contributor(s): Jean Pierre Held, Prof Derek Knottenbelt, Graham Munroe

Introduction

  • A clinical sign NOT a diagnosis.
  • The presence of blood in urine micro- or macroscopically.
  • Cause: several: urinary tract infection, urolithiasis, neoplasia, drug toxicity, urethral defects, exercise, systemic diseases, trauma.
  • Signs: discolored urine (macroscopic) - variable other signs depending on cause.
  • Diagnosis: urinalysis, blood biochemistry/hematology, rectal palpation, endoscopy, ultrasonography.
  • Treatment: depends upon specific etiology.
  • Prognosis: depends upon specific etiology.

Pathogenesis

Etiology

Urinary tract infection

Pathophysiology

  • Presence of blood in urine.
  • A variety of disorders of the urinary tract can   →   hematuria.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Morgan R (2011) Discoloured urine in the adult horses. How clinical pathology and imaging techniques help my diagnosis? UK Vet 16, 4-7 VetMedResource.
  • Vits L, Araya Om Bustamante H, Mohr F & Galecio S (2008) Idiopathic renal hematuria in a 15-year old Arabian mare. Vet Rec 162 (8), 251-252 PubMed.
  • Schumacher J, Varner D D, Schmitz D G & Blanchard T L (1995) Urethral defects in geldings with hematuria and stallions with hemospermia. Vet Surg 24, 250-254 PubMed.
  • Schott H C, Hodgson D R & Bayly W M (1995) Hematuria, pigmenturia and proteinuria in exercising horses. Equine Vet J 27, 67-72 PubMed.

Other sources of information

  • Schott H C (1997) Hematuria. In: Current Therapy in Equine Medicine. Ed: Robinson N E. Saunders, USA. pp 489-491.


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