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Microhematuria, also called microscopic hematuria (both usually abbreviated as MH), is a medical condition in which urine contains small amounts of blood; the blood quantity is too low to change the color of the urine (otherwise, it is known as gross hematuria).
Most patients with thin basement membrane disease are incidentally discovered to have microscopic hematuria on urinalysis. 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.
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).
If symptoms are present, treatment is generally with antibiotics. [3] Bacteriuria without symptoms generally does not require treatment. [4] Exceptions may include pregnant women, those who have had a recent kidney transplant, young children with significant vesicoureteral reflux, and those undergoing surgery of the urinary tract. [3] [4]
These presenting symptoms are relatively non-specific and are often seen in other glomerular disorders. Preceding upper respiratory tract infection or post-streptococcal glomerulonephritis may contribute to hematuria, as both have been identified in patients presenting with hematuria in the context of mesangial proliferative glomerulonephritis. [2]
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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The Paris System for reporting urine cytology, version 2.0, ranging from negative to positive for high grade urothelial carcinoma. [1]Urine cytology is a test that looks for abnormal cells in urine under a microscope.