Felis ISSN 2398-2950

Hematuria

Contributor(s): Melissa Wallace

Introduction

  • Presence of blood in the urine.
  • Hematuria is a sign, NOT a diagnosis.
  • Cause: urinary tract hemorrhage, manifestation of abnormal hemostasis Hemostatic disorders: acquired.
  • Signs: discoloration of urine.
  • Diagnosis: detection of blood on dipstick and presence of red blood cells on cytological examination of urine.
  • Treatment: depends on etiology.
  • Prognosis: depends on etiology.

Pathogenesis

Etiology

Primary urinary tract hemorrhage

Genital tract hemorrhage

  • Neoplasia (very rare):
    • Prostatic (male).
    • Uterus/vagina (female).
  • Inflammatory also very rare:
  • Trauma (see above).

Abnormalities of hemostasis, ie coagulopathies

Timecourse

  • Days to months before presentation (depending to some extent on severity).

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from VetMed Resource and PubMed.
  • Tasker S et al (1999) Primary immune-mediated thrombocytopenia in a cat. JSAP 40(3), 127-131.
  • Beatty J A et al (1999) Haematuria in a geriatric cat. Aust Vet J 77(3), 160, 166-167.
  • Batamuzi E K & Kristensen F et al (1994) Idiopathic renal haematuria in the dog. Vet Rec 135, 603.
  • Hitt M E & Straw R C et al (1985) Idiopathic hematuria of renal origin in a dog. JAVMA 187, 1371-1373.


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