TY - CHAP M1 - Book, Section TI - Chapter 468. Kidney or Urinary Tract Disorders A1 - Foreman, John W. A2 - Rudolph, Colin D. A2 - Rudolph, Abraham M. A2 - Lister, George E. A2 - First, Lewis R. A2 - Gershon, Anne A. PY - 2011 T2 - Rudolph's Pediatrics, 22e AB - Hematuria is a common sign of urinary tract disease but also occurs in otherwise healthy children.1,2 Hematuria can present as either discolored red, brown, or tea-colored urine (eFig. 467.1), or it can present as yellow urine with a positive dipstick for blood. Clues to the diagnosis may be obtained from a history focused on whether the hematuria is painless, intermittent, or persistent, or microscopic or gross. A family history of hematuria or renal disease is important. Brown or tea-colored urine is common in glomerulonephritis, whereas red or obviously bloody urine suggests postglomerular bleeding. Glomerulonephritis is commonly associated with other abnormalities of the urine such as proteinuria and cellular casts as well as hypertension, edema, and reduced renal function. Table 468-1 provides a simple mnemonic for the causes of hematuria throughout the urinary tract. A diagnostic approach and differential diagnosis for discolored urine and microscopic hematuria are shown in Figure 468-1. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/24 UR - accesspediatrics.mhmedical.com/content.aspx?aid=7044977 ER -