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:
    • Pyometra (female)   Pyometra  .
    • Vaginitis (female)   Vaginitis  .
    • Prostatitis (male).
  • 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

  • Tasker Set al(1999)Primary immune-mediated thrombocytopenia in a cat.JSAP40(3), 127-131.
  • Beatty J Aet al(1999)Haematuria in a geriatric cat.Aust Vet J77(3), 160, 166-167.
  • Batamuzi E K & Kristensen Fet al(1994)Idiopathic renal haematuria in the dog.Vet Rec135, 603.
  • Hitt M E & Straw R Cet al(1985)Idiopathic hematuria of renal origin in a dog.JAVMA187, 1371-1373.


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