Abnormally colored urine: Difference between revisions
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==Background== | ==Background== | ||
The urine can help guide the toxicologic differential in a poisoned patient<ref>Aycock RD Kass DA. Abnormal urine color. South Med J. 2012 Jan;105(1):43-7</ref> | The urine can help guide the toxicologic differential in a poisoned patient<ref>Aycock RD Kass DA. Abnormal urine color. South Med J. 2012 Jan;105(1):43-7</ref> | ||
==Clinical Features== | |||
*Complaint of abnormally colored urine | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Line 59: | Line 62: | ||
*Zaleplon | *Zaleplon | ||
==Hematuria vs Myoglobinuria== | ==Evaluation== | ||
===Hematuria vs Myoglobinuria=== | |||
[[File:RhabdoUrine.jpg|thumb|Urine from a person with [[rhabdomyolysis]] showing the characteristic brown discoloration as a result of myoglobinuria]] | [[File:RhabdoUrine.jpg|thumb|Urine from a person with [[rhabdomyolysis]] showing the characteristic brown discoloration as a result of myoglobinuria]] | ||
*[[Hematuria]] | *[[Hematuria]] | ||
| Line 65: | Line 69: | ||
*[[Myoglobinuria]] | *[[Myoglobinuria]] | ||
**[[Urinalysis]] = +Blood with -RBCs | **[[Urinalysis]] = +Blood with -RBCs | ||
==Management== | |||
*Dependent on diagnosis | |||
==Disposition== | |||
*Dependent on diagnosis | |||
==See Also== | ==See Also== | ||
Latest revision as of 20:34, 24 January 2024
Background
The urine can help guide the toxicologic differential in a poisoned patient[1]
Clinical Features
- Complaint of abnormally colored urine
Differential Diagnosis
Red Urine
- Hematuria
- Hemoglobinuria
- Porphyria
- Myoglobinuria (rhabdomyolysis)
- Foods
- Blackberries
- Beets
- Blackberries
- Rhubarb
- Food coloring
- Fava beans
- Drugs
- Uric acid crystalluria (neonates)
Black
- Methyldopa
- Betadine
- Melanoma
- Cresol
- Iiron
- Laxatives (cascara, senna)
- L-dopa
- Methocarbamol
- Metronidazole
- Nitrofurantoin
- Sorbitol
Orange
- Pyridium
- Rifampin
- Vitamin A
- Vitamin B12
- Carrots
- Beets
- Bile pigments
- Uric acid crystalluria (neonates)
Purple
Brown
- Levodopa
- Metronidazole
- Nitrofurantoin
- Iron sorbitol
- Chloroquine
- Methyldopa
- Acetaminophen (overdose)
- Niridazole
- Fava beans
- Rhubarb
Blue/Green
- Amitryptiline
- Indomethicin
- Pseudomonas
- Methylene blue
- Clorets breath mints
- Cimetidine
- Flupirtine
- Methocarbamol
- Metoclopramide
- Promethazine
- Propofol
- Tetrahydronaphthalene
- Zaleplon
Evaluation
Hematuria vs Myoglobinuria
Urine from a person with rhabdomyolysis showing the characteristic brown discoloration as a result of myoglobinuria
- Hematuria
- Urinalysis = +Blood with +RBCs
- Myoglobinuria
- Urinalysis = +Blood with -RBCs
Management
- Dependent on diagnosis
Disposition
- Dependent on diagnosis