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Renal cysts have been reported in more than 50% of patients over the age of 50. [2] Typically, cysts grow up to 2.88 mm annually and may cause related pain and/or hemorrhage. [2] Of the cystic kidney diseases, the most common is polycystic kidney disease with two sub-types: the less prevalent autosomal recessive and more prevalent autosomal ...
The presence of hematuria, or blood in the urine, may indicate acute UTIs, kidney disease, kidney stones, inflammation of the prostate (in men), endometriosis (in women), or cancer of the urinary tract. In some cases, blood in the urine results from athletic training, particularly in runners. [citation needed]
Hematuria can be classified according to visibility, anatomical origin, and timing of blood during urination. [1] [6]In terms of visibility, hematuria can be visible to the naked eye (termed "gross hematuria") and may appear red or brown (sometimes referred to as tea-colored), or it can be microscopic (i.e. not visible but detected with a microscope or laboratory test).
The majority are benign, simple cysts that can be monitored and not intervened upon. However, some are cancerous or are suspicious for cancer and are commonly removed in a surgical procedure called nephrectomy. Numerous renal cysts are seen in the cystic kidney diseases, which include polycystic kidney disease and medullary sponge kidney.
Most patients have been reported to have gross or microscopic hematuria. [8] Significantly increased serum lactate dehydrogenase levels and proteinuria may also be observed. [7] Renal angiography is still the gold standard, but CT renal angiography, CT angiography, and DMSA radioisotope scan can also be used to establish the diagnosis. [4]
It can detect lesions in the bladder that are large enough to be seen, gauge the thickness of the bladder wall, and look for additional lesions that might be the source of hematuria. Cystitis cystica can show up on a CT urogram as a number of small, rounded filling defects in the bladder wall that range in size from 2 to 5 mm. Lesions can also ...
The blood pressure, kidney function, and the urinary protein excretion are usually normal. Mild proteinuria (less than 1.5 g/day) and hypertension are seen in a small minority of patients. Frank hematuria and loin pain should prompt a search for another cause, such as kidney stones or loin pain-hematuria syndrome.
Contamination of the sample with blood from a non-urinary source, such as from menstruation or rectal bleeding, can mimic hematuria, [99] and microscopic hematuria is sometimes observed in healthy people after exercise. [98] Other causes of microscopic hematuria include UTI, kidney stones, benign prostatic hyperplasia, and trauma to the urinary ...
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