Hematuria (peds): Difference between revisions
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{{ | {{PediatricPage|hematuria}} | ||
==Background== | ==Background== | ||
[[File:Macroscopic hematuria.png|thumb|Macroscopic Hematuria algorithm]] | [[File:Macroscopic hematuria.png|thumb|Macroscopic Hematuria algorithm]] | ||
*Make sure hematuria is not myoglobin or bleeding from non-urinary source | *Make sure hematuria is not myoglobin (e.g. 2/2 [[rhabdomyolysis]]) or bleeding from non-urinary source | ||
===Common Causes=== | ===Common Causes=== | ||
| Line 18: | Line 16: | ||
==Clinical Features== | ==Clinical Features== | ||
{{Types of hematuria}} | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Evaluation== | ==Evaluation== | ||
*[[Urinalysis]] | |||
==Management== | ==Management== | ||
*Treatment dependent on cause | |||
==Disposition== | ==Disposition== | ||
*Dependent on cause | |||
==See Also== | ==See Also== | ||
*[[Hematuria]] (adult) | |||
==External Links== | ==External Links== | ||
Latest revision as of 17:18, 17 January 2026
This page is for pediatric patients. For adult patients, see: hematuria
Background
- Make sure hematuria is not myoglobin (e.g. 2/2 rhabdomyolysis) or bleeding from non-urinary source
Common Causes
- Pediatric patients
- Glomerulonephritis
- UTI
- Congenital urinary tract anomaly
- Younger adults
- Any age
- Schistosomiasis (most common cause worldwide)
Clinical Features
Types of hematuria
- Initial hematuria
- Blood at beginning of micturition with subsequent clearing
- Suggests urethral disease
- Intervoid hematuria
- Blood between voiding only (voided urine is clear)
- Suggests lesions at distal urethra or meatus
- Total hematuria
- Blood visible throughout micturition
- Suggests disease of kidneys, ureters, or bladder
- Terminal hematuria
- Blood seen at end of micturition after initial voiding of clear urine
- Suggests disease at bladder neck or prostatic urethra
- Gross hematuria
- Indicates lower tract cause
- Microscopic hematuria
- Tends to occur with kidney disease
- Brown urine with RBC casts and proteinuria
- Suggests glomerular source
- Clotted blood
- Indicates source below kidneys
Differential Diagnosis
Pediatric Hematuria
| Macroscopic Hematuria | Transient Microhematuria | Persistent Microhematuria |
| Blunt abdominal trauma | Strenuous exercise | Benign familial hematuria |
| Urinary tract infection | Congenital anomalies | Idiopathic hypercalciuria |
| Nephrolithiasis | Trauma | Immunoglobulin A nephropathy |
| Infections | Menstruation | |
| Poststreptococcal glomerulonephritis | Bladder catheterization | Alport syndrome |
| High fever | Sickle cell trait or anemia | |
| Immunoglobulin A nephropathy | Henoch-Schonlein purpura | |
| Hypercalciuria | Drugs and toxins | |
| Sickle cell disease | Lupus nephritis |
Look-Alikes
- Foods or medications
- Uric acid crystalluria
- Gastrointestinal bleeding (peds)
- Vaginal bleeding
- Other causes of abnormally colored urine
Evaluation
Management
- Treatment dependent on cause
Disposition
- Dependent on cause
See Also
- Hematuria (adult)