Related Experiment Video

Updated: Jan 22, 2026

Reproducible Arterial Denudation Injury by Infrarenal Abdominal Aortic Clamping in a Murine Model
08:33

Reproducible Arterial Denudation Injury by Infrarenal Abdominal Aortic Clamping in a Murine Model

Published on: November 24, 2016

9.8K

Microhematuria as an Indicator of Significant Abdominal Injury

Lea Ohana-Sarna-Cahan1, Yonatan Levin2, Itai Gross3

  • 1From the Department of Pediatrics.

Pediatric Emergency Care
|July 9, 2019
PubMed

Insights

Microhematuria in children after trauma has low diagnostic accuracy for intra-abdominal injuries. However, it remains a valuable screening tool for assessing injury severity and guiding further evaluation.

Area of Science:

  • Pediatric Trauma
  • Urology
  • Emergency Medicine

Background:

  • Trauma is a leading cause of pediatric morbidity and mortality.
  • Microhematuria is often used to screen for significant abdominal injuries in children.

Purpose of the Study:

  • To evaluate the role of dipstick urinalysis for microhematuria in identifying significant abdominal injuries in pediatric trauma patients.

Main Methods:

  • Retrospective review of 655 children (0-16 years) admitted for motor vehicle accidents or falls (2007-2017).
  • Analysis of urinalysis results and correlation with computed tomography (CT) scan findings.

Main Results:

  • Microhematuria was present in 100 children; 41 underwent CT scans.
  • CT revealed significant injury in 39% of those with microhematuria.
  • Sensitivity: 66.6%, Specificity: 68.3%. Microhematuria correlated with longer hospital stays, surgery, and PICU admission.

Conclusions:

  • Dipstick urinalysis for microhematuria has low sensitivity and specificity for diagnosing intra-abdominal injuries in children.
  • Despite limitations, microhematuria is a useful initial screening tool for assessing injury severity.
Abstract

More Related Videos

Balloon-based Injury to Induce Myointimal Hyperplasia in the Mouse Abdominal Aorta07:32

Balloon-based Injury to Induce Myointimal Hyperplasia in the Mouse Abdominal Aorta

Published on: February 7, 2018

10.1K
Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta07:12

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta

Published on: September 8, 2023

4.2K

Related Concept Videos

Indicators02:39

Indicators

Certain organic substances change color in dilute solution when the hydronium ion concentration reaches a particular value. For example, phenolphthalein is a colorless substance in any aqueous solution with a hydronium ion concentration greater than 5.0 × 10−9 M (pH < 8.3). In more basic solutions where the hydronium ion concentration is less than 5.0 × 10−9 M (pH > 8.3), it is red or pink. Substances such as phenolphthalein, which can be used to determine the pH of a solution, are...
59.8K
Abdominal Aorta01:25

Abdominal Aorta

Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
2.2K
Mechanical Ventilation I: Indication and Settings01:29

Mechanical Ventilation I: Indication and Settings

Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
2.7K
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.7K
Ultrasound I: Abdominal Ultrasonography01:20

Ultrasound I: Abdominal Ultrasonography

Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
1.5K
Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
16.7K