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Colegio de Medicos y Cirujanos República de Costa Rica
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2014, Number 613

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Rev Med Cos Cen 2014; 71 (613)

Evaluación y manejo de hematuria

Sandoval PE
Full text How to cite this article

Language: Spanish
References: 12
Page: 849-852
PDF size: 550.16 Kb.


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ABSTRACT

Hematuria is a condition that affects about 16% of the adult population and this may serve as a marker of infection, urolithiasis, cancer, etc. (1, 3). There is controversy in establishing the definition of hematuria as this differs by referring to their various presentations in microhematuria or gross hematuria. Is important to distinguish the presence of microscopic hematuria or macroscopic hematuria, that because there is a higher prevalence of malignancies in patients with gross hematuria. Should be given greater attention and should conduct studies to all patients with macroscopic hematuria without clear cause, patients with glomerular disease, presence of risk factors for malignancy, presence of clots or patients older than 35 years who present asymptomatic microhematuria. Be critical when evaluating the patient with hematuria perform a complete medical history where the risk factors set out in the Risk Index Hematuria where can be determined, and thus determine the need for further studies, including images, especially when benign conditions have been excluded, and thus establish whether the patient should be referred to a Urologist.


REFERENCES

  1. Buteau, A. (2012). What is evaluation of Hematuria by primary care physicians: Use of electronic medical records to assess practice patterns with intermediate followup. Elsevier, 1-7.

  2. Emmert, F. (2013). Collectives of diagnostic biomarkers identify. Biomed Central Medicine, 1-15.

  3. Jimbo, M. (2010). Evaluation and management of hematuria. Elsevier, 461-472.

  4. Johnson, E. K. (2008). Patterns of Hematuria Referral to Urologist: Does a gender Disparity Exist? Elsevier. Ambulatory and Office Urology, 498-502.

  5. M, L. (2012). AUA Guideline addresses diagnosis, evaluation, and follow-up of asymptomatic microhematuria. American Academy of General Practice, 649-653.

  6. M.Dubón. (2013). Hematuria. Revista de la Facultad de Medicina UNAM, 49.

  7. Margulis, V. (2011). Assesment of Hematuria. Elsevier, 153-159.

  8. Mendez, L. (2011). Hematuria. Actalización en Medicina de Familia, 40.

  9. Miah, S. (2010). Haematuria. Elsevier, 589-593.

  10. Pal, A. (2013). Hematuria valuation in the Hospitalized Patient. Elsevier, 57-71.

  11. Rees, J. (2013). No place for routine urine cytology in haematuria. The Practitioner, 257.

  12. Schwartz, G. L. (2013). proper Evaluation of asymptomatic Microscopic Hematuria in the Era of Evidence- Based Medicine- Progress is being Made. Mayo Clinic Proceedings, 123-125.




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Rev Med Cos Cen. 2014;71