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Keywords: Abstract
- Hematuria
Assessment protocol for haematuria
- Benign prostatic hyperplasia
- Urinary infection We define Non visible hematuria the presence of three or more red blood cells in high powered
- Urinary lithiasis field (HPF) in a properly collected urine specimen in the absence of an obvious benign cause. Urine
dipstick has a high sensitivity and specificity to detect red blood cells in urine. From urologic point
of view benign prostatic hyperplasia, urinary infection and urinary lithiasis are the most frequent
causes for hematuria.
Fisiopatologa
Evaluacin inicial de un paciente
con hematuria no visible Segn la forma de los hemates, se puede evaluar el origen de
sintomtica o persistente la hematuria.
Urografa intravenosa
Diagnstico diferencial
Muy utilizada previamente, ahora est siendo sustituida en la
Se realizar diagnstico diferencial con la infeccin urinaria,
prctica clnica por la tomografa computadorizada (TC).
menstruacin, actividad fsica intensa, enfermedades renales,
enfermedades infecciosas, traumatismos, procedimientos ge-
nitourinarios recientes, etc. Uro-tomografa computadorizada
La prevalencia de la HNV asintomtica vara con la edad
y el sexo, y oscila entre el 0,19 y el 21%. Prueba de referencia para el diagnstico de masas renales. La
Una vez descartadas las causas benignas, si se mantiene la TC sin contraste es la prueba ms eficaz para el diagnstico
presencia de HNV (microhematuria) asintomtica persisten- de litiasis.
HNV HNV
sintomtica asintomtica
No S
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