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Causes of Haematuria

Kidney

Trauma: mild to moderate trauma commonly causes renal


bleeding, severe injuries may not bleed (avulsed kidney
complete disruption).
Tumours: may be profuse or intermittent.
Renal cell carcinoma: associated mass, loin pain, clot, colic
or fever, occasional polycythaemia, hypercalcaemia and
hypertension.
TCC: characteristically painless, intermittent haematuria.
Calculus: severe loin/groin pain, gross or microscopic,
associated infection.
Glomerulonephritis: usually microscopic, associated
systemic disease (e.g. SLE).
Pyelonephritis (rare).
Renal tuberculosis (rare): sterile pyuria, weight loss,
anorexia, PUO, increased frequency of micturition day and
night.
Polycystic disease (rare): palpable kidneys, hypertension,
chronic renal failure.

Ureter
Calculus: severe loin/groin pain, gross or
microscopic, associated infection.
TCC: characteristically painless, intermittent
haematuria, history of smoking, exposure to
rubber or chemical dyes.
Trauma: often iatrogenic

References:
Surgery at a Glance, 5th Edition
Browses Introduction To Signs & Symptoms Of Surgical Disease 5th
Edition

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