Hematuria in pregnancy ppt

HEMATURIA • Definition : presence of blood in the urine. • The passage of blood in the urine is always alarming and investigation is warranted. 3. COMMON CAUSES OF RED URINE • Hematuria. • Hemoglobinuria, myoglobinuia. • Anthrocyanin in beets and blackberries. • Chronic lead and mercury poisoning. • Phenolphthalein (in bowel. Hematuria in Pregnancy Painful - infection Painless - neoplastic, hyperplastic, vascular Gross - urine appears ―RED‖; lower tractprob. Microscopic - > 5 RBC's/hpf; kidney dz False hematuria = urine appears bloody, butdipstick results are neg. for blood and noRBC's on micro Free hgb, myoglobin, porphyrins 16

Hematuria - SlideShar

• Overall, the risk of stone formation during pregnancy does not appear to be increased. • Common presentations of stones in pregnancy include nonspecific flank or abdominal pain, fever, recurrent or persistent urinary tract infections, or microscopic hematuria Patients with microscopic hematuria (i.e., at least three red blood cells per high-power field in two of three specimens) should be evaluated to exclude renal and urinary tract disease. C 19, 2 Ectopic Pregnancy Ovarian torsion Ovarian cyst rupture . Indications for testing: Flank pain, Nausea & vomiting, and/or symptoms of a stone Order: Urinalysis Hematuria Imaging Strain urine and stone analysis If second stone, consider 24 hour urine . Emergency Department Work-U INTRODUCTION. Hematuria that is not explained by an obvious underlying condition (eg, cystitis, ureteral stone) is fairly common. In many such patients, particularly young adult patients, the hematuria is transient and of no consequence [].On the other hand, there is an appreciable risk of malignancy in older patients (eg, over age 35 years) with hematuria, even if transient []

Asymptomatic bacteriuria - SlideShar

UTI in Pregnancy - SlideShar

Clin warranted in pregnancy because of the risk of morbidity Chest Med. 1992;13:555-565. from uncontrolled hypertension. Elective termination of 5. Hill CC, Pickinpaugh J. Physiologic changes in pregnancy. Surg the pregnancy may be offered early in the pregnancy, as Clin North Am. 2008;88:391-401:vii. 6 Uti in Pregnancy - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. overview of approach in UTI management in pregnancy Uro excessive haemolysis/ liver disease Blood (+) hematuria, hemoglobinuria, myoglobinuria Blood - 3 RBCs Protein - (+) stress, strenuous exercise. Pregnancy Hypertens. 2015 Oct. 5 (4):287-93. . Hou S. Pregnancy in chronic renal insufficiency and end-stage renal disease. Am J Kidney Dis. 1999 Feb. 33(2):235-52. . Nevis IF, Reitsma A, Dominic A, McDonald S, Thabane L, Akl EA, et al. Pregnancy outcomes in women with chronic kidney disease: a systematic review Hematuria is the presence of blood in a person's urine. The two types of hematuria are. gross hematuria—when a person can see the blood in his or her urine. microscopic hematuria—when a person cannot see the blood in his or her urine, yet it is seen under a microscope. The male and female urinary tracts

Asymptomatic proteinuria and hematuria syndrome is the result of diseases of glomeruli (clusters of microscopic blood vessels in the kidneys that have small pores through which blood is filtered). It is characterized by steady or intermittent loss of small amounts of protein and blood in the urine Several urological problems can arise during pregnancy including hydronephrosis, hydroureter, pyelonephritis, urolithiasis, pelviureteric junction (PUJ) obstruction, and bladder tumor along with the different symptoms such as flank pain, fever, retention of urine, hematuria, dysuria, and/or combination of multiple symptoms. Differentiation from. use during pregnancy can be divided into teratogenicity (first trimester), fetotoxicity (throughout pregnancy), and breast feeding (Table 2). 19 Factors that modify the level of risk include agent, dose, and timing. 20 As is all too common, unplanned pregnancy

False Positive Hematuria •Presence of semen in urine may cause positive hemereaction •Alkaline urine with pH>9 or contamination with oxidizing agents used to clean perineum •Presence of myglobinuria Mimics of Hematuria •Menstrual cycle: remember age and sex of patient •Ingestion of beets, rhubarb, certain foo Increased incidences of low birth weight, premature delivery, and neonatal death result from UTIs (particularly upper tract infections) during pregnancy. 3. OBSTRUCTION - Any impediment to the free flow of urine tumor, stricture, stone, or prostatic hypertrophyresults in hydronephrosis and a greatly increased frequency of UTI pregnancy is often a diagnostic and therapeutic challenge for multiple reasons. First, potential adverse effects of anesthesia, radiation, and surgery often complicate traditional diagnostic and treatment modalities. Second, many signs and symptoms of urolithiasis can be found in a pregnancy or may be associated with broad differential diagnoses o Gross hematuria is the presence of visible blood in the urine, and may develop from renal or urologic pathology. True hematuria (the presence of red blood cells in the urine) should be distinguished from other causes of reddish urine, including myoglobinuria, hemoglobinuria, and drugs (e.g. rifampin) or dietary causes (e.g. beets)

Pulmonary embolism was safely ruled out by the pregnancy-adapted YEARS diagnostic algorithm across all trimesters of pregnancy. CT pulmonary angiography was avoided in 32 to 65% of patients Pregnancy and SLE. 1950s - in SLE pregnancy is not advised - termination should be offered ; 1990s - 10-30 flare during pregnancy / postpartum - most flares are minor; 79 Q Which statement is incorrect regarding pregnancy in lupus. SLE patients are less fertile ( low fertility rate) SLE patients have higher frequency of premature labor. 3 Urinary tract infections (UTIs) are frequently encountered in pregnant women. Pyelonephritis is the most common serious medical condition seen in pregnancy and may present similarly and may even result from inadequate treatment of urinary tract infections. Thus, it is crucial for providers to be able to distinguish normal versus abnormal.

Urolithiasis in pregnancy is a major health concern and is one of the most common causes for non-obstetrical abdominal pain and subsequent hospital admission during pregnancy. The incidence of urinary calculi during pregnancy varies in the range of 1/200 to 1/2000. Acute ureteric colic in pregnancy is associated with significant potential risks to both mother and fetus Urinary tract infections (UTIs) are frequently encountered in pregnant women. Pyelonephritis is the most common serious medical condition seen in pregnancy. Thus, it is crucial for providers of obstetric care to be knowledgeable about normal findings of the urinary tract, evaluation of abnormalities, and treatment of disease. Fortunately, UTIs in pregnancy are most often easily treated with.

Renal Disorders in Pregnancy: Core Curriculum 2019. Address for Correspondence: Vesna Garovic, MD, PhD, 200 First St SW, Rochester, MN 55905. As the incidence of chronic kidney disease increases and women pursue pregnancy at more advanced ages, the management of kidney disease in pregnancy has become increasingly relevant to the practicing. • Gross hematuria without evidence of acute UTI should be considered an indication of malignancy until proven otherwise Asymptomatic Bacteriuria Description • Significant bacterial counts in urine of a patient who has no other symptoms; more common with female gender, aging, perimenopausal status, pregnancy, structura work-up of females is controversial, and no consensus guidelines exist at this time. Pregnancy increases the number of potential diagnoses. The majority of published literature on hematuria in pregnancy is in the form of case reports, and esoteric diagnoses are disproportionately represented. The purpose of this review is to summarize existing literature regarding the evaluation, differential. Pregnancy causes numerous changes in the woman's body that increase the likelihood of urinary tract infections (UTIs). Hormonal and mechanical changes can promote urinary stasis and vesicoureteral reflux.These changes, along with an already short urethra (approximately 3-4 cm in females) and difficulty with hygiene due to a distended pregnant belly, help make UTIs the most common bacterial.

Microscopic hematuria in pregnancy: relevance to pregnancy

  1. In 2015, urinary tract infection (UTI) was the seventh most common diagnosis in women older than 15 years of age presenting to EDs. 1 Between 2006 and 2009, 10.8 million patients were evaluated in EDs due to UTIs, with 1.8 million admissions. 2 Most visits for UTIs occur in younger women, with nearly half of all women experiencing a UTI during their lifetime. 3 Starting at age 50, men.
  2. Urinary tract infection (UTI) is one of the most frequently encountered conditions in pregnant women. The incidence of UTI in pregnancy is comparable to the general population (approximately 3-10%.
  3. successful pregnancy - Rates of 1 st and 2 nd trimester loss are comparable to general population - May have increased incidence of preterm delivery ¹Plante M et al. Gynecol Oncol 2005. Prevention • HPV S btHPV Subtypes - HPV types 16 and 18 cause 70% cervical cancers - HPV types 6 and 11 cause 90% of genital warts ¹Future II Study.
  4. Normal Lab Values in Pregnancy Variable Average values in pregnancy Plasma osmolality 270 mOsm Sodium 135 Potassium 3.8 Bicarbonate 18-20 Blood Urea Nitrogen 9 Creatinine 0.5 Uric acid 2-3 Cheung, Katharine and Lafayette, Richard. Renal physiology of pregnancy. Advances in CKD. 2013-05-01Z, Volume 20, Issue 3, pages 209-214
  5. Human immunodeficiency virus (HIV) infection is transmitted to the fetus in about one fourth to one third of pregnancies if women who have the infection are not treated. Experts recommend that women with HIV infection take antiretroviral drugs during pregnancy. If women take a combination of antiretroviral drugs, the risk of transmitting HIV to the fetus can be reduced to as low as 1%

Urinary tract infections during pregnanc

  1. Iliac Artery-Ureteral Fistula. IAUF is an uncommon but potentially life-threatening cause of hematuria. Approximately 90 cases of IAUF have been reported (, 1-, 3).Predisposing factors include pelvic or vascular surgery, extensive ureteral mobilization, an indwelling ureteral stent, and pelvic irradiation
  2. Oral fluconazole treatment has been linked to a distinct pattern of birth defects in five infants of mothers who were treated for severe fungal infections with 400 to 800 mg daily during most or.
  3. The evaluation and management of pregnant patients with acute kidney injury is a difficult challenge because of the urgent need to treat the patient while at the same time protecting the fetus. This tenuous balance is especially evident in preterm mothers with acute kidney injury in the setting of suspected preeclampsia. We present the case of a pregnant woman with acute kidney injury and.
  4. Kalinderi K, Delkos D, Kalinderis M, Athanasiadis A, Kalogiannidis I. Urinary tract infection during pregnancy: current concepts on a common multifaceted problem. J Obstet Gynaecol. 2018 May. 38 (4):448-453. . Wing DA, Fassett MJ, Getahun D. Acute pyelonephritis in pregnancy: an 18-year retrospective analysis
  5. ation. The classic presentation for a patient with acute renal colic is the sudden onset of severe pain originating in the flank and radiating inferiorly and anteriorly. The pain is usually, but not always, associated with microscopic hematuria, nausea, and vomiting

Post-Streptococcal Glomerulonephritis. Post-streptococcal glomerulonephritis (PSGN) is an immunologically-mediated sequela of pharyngitis or skin infections caused by nephritogenic strains of Streptococcus pyogenes. S. pyogenes are also called group A Streptococcus or group A strep In pregnancy . Ketonuria is common even in a healthy pregnancy. It may happen if you don't eat for a long period of time, have a low-carbohydrate diet, or experience excessive vomiting Pregnancy-related acute kidney injury (PR-AKI) is acute kidney injury occurring during pregnancy, labor and delivery, and/or the postpartum period. (hematuria, red cell casts), nephrotic-range.

It is usually carried out after 37 weeks of pregnancy or at the time of the onset of labor. The entire bony arch of the mother's pelvis, including the sacrum , the sacro-coccygeal joint, the sacro-sciatic notch, the ischial spines, the ilio-pectineal lines and the pubic arch are palpated and an assessment of the size of the pelvis made Background Malaria in pregnancy remains a major public health problem in Africa and Ghana and has been associated with a variety of pregnancy-related adverse complications. The development of effective and timely health policies for the prevention and control of malaria and anemia in pregnancy; requires current and consistent data on the prevalence and risk factors

Appendicitis is defined as an inflammation of the inner lining of the vermiform appendix that spreads to its other parts. This condition is a common and urgent surgical illness with protean manifestations, generous overlap with other clinical syndromes, and significant morbidity, which increases with diagnostic delay (see Clinical Presentation) Acute pyelonephritis is a potentially organ- and/or life-threatening infection that characteristically causes scarring of the kidney. An episode of acute pyelonephritis may lead to significant renal damage; kidney failure; abscess formation (eg, nephric, perinephric); sepsis; or sepsis syndrome, septic shock, and multiorgan system failure PowerPoint is the world's most popular presentation software which can let you create professional Acute Abdominal Pain powerpoint presentation easily and in no time. This helps you give your presentation on Acute Abdominal Pain in a conference, a school lecture, a business proposal, in a webinar and business and professional representations.. The uploader spent his/her valuable time to create. Pre-eclampsia is one of several hypertensive disorders that can occur during pregnancy.. It is a placental disease, which affects up to 5% of women in their first pregnancy. In its most severe form, it can result in catastrophic maternal and/or fetal compromise. In this article, we shall look at the risk factors, clinical features and management of pre-eclampsia The kidney biopsy is an invaluable tool that has become the gold standard for the diagnosis of pathologic kidney diseases since the early 1950s. Throughout the years, immunohistologic and ultrastructural microscopy techniques have improved and provide more information on the cause and classification of kidney diseases than that available from simple light microscopy alone

The placenta is an organ that develops in the uterus during pregnancy. Placental abruption occurs when the placenta separates from the inner wall of the uterus before birth. Placental abruption can deprive the baby of oxygen and nutrients and cause heavy bleeding in the mother. In some cases, early delivery is needed RUPTURE OF OVARIAN CYST Ovarian cysts occur in pregnancy with a frequency ranging from 1 in 81 to 1 in 1000. Rupture of ovarian cysts is rare. History and physical examination • Patients may have a history of mild trauma, such as may be caused by a fall, intercourse, or a vaginal examination. However, rupture may occur spontaneously. • The patient may have mild, chronic lower abdominal.

PPT - Appendicitis during pregnancy PowerPoint

ICD-10-CM Coding Rules. O9A.113 is applicable to maternity patients aged 12 - 55 years inclusive.; O9A.113 is applicable to mothers in the third trimester of pregnancy, which is defined as between equal to or greater than 28 weeks since the first day of the last menstrual period Associated discharge, including pus and blood (none) Size/tenderness association with menstrual cycle. Nipple changes. Skin changes (on affected breast) Systemic symptoms - weight loss, low energy, anorexia. Associated shortness of breath or chest pain. Changes in personality - suggestive of brain metastases However, there is Low birth weight (< 2499 g) n (%) 6 (35.2) no consensus over the use of cystatin C in the renal SGA in current pregnancy n (%) 4 (23.5) function assessment of pregnant individuals.31,32 When Serum creatinine > 0.6 mg/dL n (%) 4 (19.0) compared to the GFR estimated for patients with Serum cystatin C (> 1.15 mg/L) n (%) 3 (15.0. MUST TO KNOW IN CLINICAL MICROSCOPY URINALYSIS. Nephron Basic structural unit of kidney 1M/kidney Urethra F: 3-4 cm M: 20 cm Urine formation (order) Glomerulus Bowman's capsule PCT Loop of Henle DCT CD PCT 65% of reabsorption ADH Regulate H 2 O reabsorption in DCT and CD Urine composition 95 -97% H 2 O 3-5% solids 60g TS in 24 hrs 35g: Organic = Urea (major) 25g: Inorganic = Cl (#1) > Na+.

PPT - Urinary Tract Infections & TubulointertitialHypertension in icu ppt


Hematuria Hematuria is presence of blood in an uncontaminated specimen of urine detected by dipstick, microscopic exam, or the naked eye. Microscopic is 3000, 4000 RBCs per minute. Macroscopic is more than one million per minute. Myoglobulin and hemoglobin can cause positive reactions on tests for hematuria RENAL DISORDER IN. PREGNANCY • Renal disease can affect the outcome of pregnancy, pregnancy can affect the progression of pre-existing renal disease, and pregnancy can itself cause renal impairment. The renal system undergoes significant physiological and anatomical changes during a normal pregnancy. PHYSIOLOGICAL ADAPTATION Dramatic dilatation of the urinary collecting system during. •Renal hematuria & hyposthenuria •Splenic infarct- reported Sickle Cell Disease (HbSS) •Usually suffer sickle crisis during stress •Seldom reach reproductive age in the past •Pregnancy avoided if ds complicated by pulmonary arterial hypt. Managing Pregnancy with Sickle Cell Disease Prenatal: •Folic Acid •CB

Assessment of Asymptomatic Microscopic Hematuria in Adults

Microscopic hematuria usually indicates kid-ney pathology. Occasionally, it can be seen in women with placenta percreta, in which the placenta invades throughthemyometrium intoneighboringviscera.Gross hematuria is rarein pregnancy and can be seen in the set-ting of acute cortical necrosis (ACN). Another change, which is considered physiologic The conclusion of a recent large cohort study from Ontario, Canada (Ray JG et al. JAMA. 2016;316(9):952-961) states, Exposure to MRI during the first trimester of pregnancy compared with nonexposure was not associated with increased risk of harm to the fetus or in early childhood. Gadolinium MRI at any time during pregnancy was associated with an increased risk of a broad set of. F.A. Davis Company Renal Calculi Renal Calculi Diagnosis ‒ Helical computed tomography (CT) without contrast is the preferred diagnostic test ‒ Abdominal X-Ray ‒ Intravenous Pyelogram (IVP) ‒ Renal Ultrasound (preferred during pregnancy) ‒ Urinalysis - hematuria, crystals, pH; 24 hour (2 consecutive with usual diet Download. PPT Acute fatty liver of pregnancy (AFLP)-. A. Pernangin. ACUTE FATTY LIVER OF PREGNANCY (AFLP) kelompok 2 Nama Anggota : Atika Vatni Suri Ayola Wanda Ulfa Ayu Metha Sari Br P.A Ayu Lestari Ayu Syahfitri fACUTE FATTY LIVER OF PREGNANCY (AFLP) Acute Fatty Liver of Pregnancy (AFLP) adalah penyakit katastropik yang jarang terjadi yang. Hematuria and dysuria frequently are noticed by the patient, and secondary complications include hydronephrosis, hydroureters, secondary infection, and uremia. In Egypt, an association has been demonstrated between S. haematobium infection and Salmonella urinary carrier state and bladder cancer. 11

Microscopic hematuria in pregnancy: Relevance to pregnancy

Background In various countries, metoclopramide is the antiemetic drug of choice in pregnant women, but insufficient information exists regarding its safety in pregnancy. Methods We investigated th.. Use in Pregnancy. There are cases of liver injury, including liver failure and death, in women treated with Propylthiouracil during pregnancy. Two reports of in utero exposure with liver failure and death of a newborn have been reported. If Propylthiouracil is used during pregnancy, or if the patient becomes pregnant while taking.

PPT - Nephrolithiasis PowerPoint Presentation - ID:6342459

Microhematuria: Asymptomatic - American Urological Associatio

Malaria during pregnancy is a major public health concern and an important contributor to maternal and infant morbidity and mortality in malaria-endemic countries.1 Pregnant women are particularly. 3 acute hematuria. 3 fever. Note: Delirium or nausea/vomiting should be interpreted with caution as, by themselves, they have a low specificity for UTI. 1. 2.Discussing the potential for avoiding antibiotic use with the provider if the patient has asymptomatic bacteriuria Matok I, Gorodischer R, Koren G, et al. Exposure to folic acid antagonists during the first trimester of pregnancy and the risk of major malformations. Br J Clin Pharmacol 2009; 68:956. Panel on Opportunistic Infections in HIV-Infected Adults and Adolescents. Guidelines for the prevention and treatment of opportunistic infections in HIV. Cluster B - UTI in pregnancy and asymptomatic bacteriuria, Cluster C - complicated UTI, and Cluster D - recurrent UTI. Each cluster conducted a review and analysis of the relevant English literature published since 2004 and, for some topics, even earlier studies. The quality of th

PPT - Asymptomatic%20Microscopic%20Hematuria%20in%20Adults

Perform a formal pregnancy test on your pelvic pain and vaginal bleeding patients of childbearing age as soon as possible. Of note, the urine pregnancy test is 99.4% sensitive for diagnosing pregnancy at the time of a missed period. False negatives occur when the urine is diluted and when serum β-hCG level is 10-50 mIU/ml Background and objectives: Chronic kidney disease (CKD) is a challenge for pregnancy. Its recent classification underlines the importance of its early phases. This study's aim was to evaluate outcomes of pregnancy according to CKD stage versus low-risk pregnancies followed in the same center. Design, setting, participants, & measurements: The prospective analysis was conducted from January. UTIs During Pregnancy. A urinary tract infection (UTI) is an infection of some part of your body's urinary system, which includes your: Bacteria cause most UTIs. Anyone can get one, but they're. Thrombotic thrombocytopenic purpura (TTP) is a rare, potentially life-threatening acute thrombotic microangiopathy (TMA). It is caused by a severe deficiency of the von Willebrand factor (VWF)-cleaving protease ADAMTS13, resulting in the presence of highly adhesive unusually large VWF (ULVWF) multimers, which causes inappropriate platelet clumping in the microvasculature under high shear. Hematuria: The strict definition of hematuria by the American Uro-logical Association is the presence of three or more red cells per high-powered field in two of three urine samples. The urine dipstick is used to test for the peroxidase activity of erythrocytes, not for the actual presence of the physical RBC. Of course, myoglobin and hemoglobi

Proteinuria in pregnancy: Clinically driven considerations

A pregnancy test is used to determine whether a woman is pregnant.The two primary methods are: 1) testing for human pregnancy hormone (human chorionic gonadotropin (hCG)) in blood or urine and 2) ultrasonography.Testing blood for hCG results in the earliest detection of pregnancy. Almost all pregnant women will have a positive urine pregnancy test one week after the first day of a missed. The primary cause of azotemia is a loss of kidney function. However, the different types of azotemia, which may arise from or be a part of renal failure, have different causes

PPT - Hypertensive Emergencies PowerPoint Presentation

(PDF) Urologic Emergencies in Pregnancy Arun Thomas

An ectopic pregnancy occurs when an embryo implants somewhere other than the uterus, such as in one of the fallopian tubes. Learn more from WebMD about the symptoms, causes, and treatment of an. Ibuprofen Description. Ibuprofen tablets contain the active ingredient Ibuprofen, which is (±) - 2 - ( p - isobutylphenyl) propionic acid. Ibuprofen is a white powder with a melting point of 74° to 77° C and is very slightly soluble in water (<1 mg/mL) and readily soluble in organic solvents such as ethanol and acetone 1. 1. Three cases of splenomegaly during pregnancy are reported, two of Banti's disease and one of chronic malaria. 2. 2. Banti's disease is aggravated by pregnancy. Preliminary transfusion followed by early splenectomy may be safely undertaken in the pregnant as well as in the nonpregnant state. 3. 3 Steven C. Campbell, M.D., Ph.D.; Associate Editor(s)-in-Chief: Venkata Sivakrishna Kumar Pulivarthi M.B.B.S. Overview. Specifically, among patients with gross hematuria, 50% have been found to have a demonstrable cause, with 20% to 25% found to have a urologic malignancy, most commonly bladder cancer and kidney cancer. Given the increased frequency with which clinically significant findings.

Albuminuria, as the name suggests, is the issue that causes the albumin to seep into the urine. So, the condition causes the protein to pass from the blood to your urine. It signifies the underlying kidney disease. A healthy kidney always filters the waste and passes it through the urine. But, a damaged kidney lets the albumin in the blood to. Ectopic Pregnancy The DZ (1500 mlU/ml) is the threshold level of serum HCG, above which a normal IUP should be seen on sonography. Although there is a broad range of normal variation in HCG, failure of levels to increase by about 66% within 48 h in 1 st trim pregnancy suggests an abnormal gestation (either a threatened miscarriage or blighted. Assess client for bleeding from nose, gums, hematuria, and blood in stool. Observe color and amount of lochia. Institute a pad count. Avoid IM injections to avoid formation of hematomas. Inform the client that this drug passes into breast milk and its use is contraindicated during pregnancy