A review on hematuria in children

Sarel Halachmi1, David Kakiashvili, Shimon Meretyk

  • 1Department of Urology, Rambam Medical Center, Faculty of Medicine, Technion-Israel Institute of Technology, POB 9602, Haifa, Israel. s_halachmi@rambam.health.gov.il

Insights

Asymptomatic hematuria is common in children. This review covers major causes and provides an evaluation algorithm for pediatric urologists to diagnose blood in urine in young patients.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Internal Medicine

Background:

  • Asymptomatic hematuria is a frequent finding in pediatric and adolescent populations.
  • The diagnostic approach for pediatric hematuria differs significantly from that in adults.
  • Understanding the unique causes and investigations is crucial for effective management.

Purpose of the Study:

  • To outline the primary diseases causing hematuria in children.
  • To propose a systematic evaluation algorithm for pediatric urologists.
  • To aid in the accurate diagnosis and management of pediatric hematuria.

Main Methods:

  • Review of major diseases causing hematuria in pediatric patients.
  • Development of a diagnostic algorithm tailored for pediatric urology.
  • Synthesis of current literature on pediatric hematuria investigation.

Main Results:

  • Identification of key conditions leading to hematuria in children.
  • Presentation of a structured approach for evaluating pediatric hematuria.
  • Emphasis on the distinct differential diagnoses in the pediatric population.

Conclusions:

  • A clear diagnostic pathway is essential for managing asymptomatic hematuria in children.
  • The proposed algorithm assists pediatric urologists in efficient and accurate diagnosis.
  • Timely evaluation can lead to better outcomes for pediatric patients with hematuria.

Related Concept Videos

Urine Studies I: Urinalysis01:29

Urine Studies I: Urinalysis

Urinalysis is a widely used diagnostic test that analyzes urine's physical, chemical, and microscopic characteristics. Healthcare providers use it to detect and monitor various health conditions, including renal disease, urinary tract infections (UTIs), diabetes, and metabolic or systemic disorders.Components of UrinalysisUrinalysis consists of three primary components: physical, chemical, and microscopic examination. Each provides unique insights into the urine sample and, by extension, the...
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Anatomy of the Genitourinary System I: Kidneys and Ureters01:11

Anatomy of the Genitourinary System I: Kidneys and Ureters

The upper urinary system comprises two kidneys and two ureters, which are crucial in filtering blood and forming urine.KidneysLocation and Structure:The kidneys are two bean-shaped organs positioned behind the peritoneum on either side of the spine.Kidneys are between the 12th thoracic (T12) and the 3rd lumbar (L3) vertebrae.The position of the liver causes the right kidney to sit slightly lower than the left.Protective Layers:Each kidney is enveloped in a tough, fibrous membrane called the...
Imaging Studies II: Ultrasonography01:24

Imaging Studies II: Ultrasonography

IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
Overview of Hematopoiesis01:20

Overview of Hematopoiesis

Hematopoiesis, or blood cell production, is a vital biological process that begins early in embryonic development and continues throughout life. This process generates the various types of cells found in blood, including red blood cells, white blood cells, and platelets from hematopoietic stem cells (HSCs).
Developmental Phases of Hematopoiesis
Initially, HSCs are formed in the embryonic yolk sac, a critical site for early blood cell production. These stem cells subsequently migrate to other...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...