Re: Microscopic Hematuria

From: Gordon M. Goldman, M.D. (gmgoldman@sprintmail.com)
Mon Mar 16 18:17:53 1998


Peter Wein wrote: >
> At 06:12 PM 16/03/98 -0600, you wrote:
> >
> >In a message dated 3/16/98 5:33:02 PM, you wrote:
> >
> ><<Ditto, here. Have sent them to urologists when simple w/u shows
> nothing
> >and still get negative w/u there. Have also had two patients that
> said
> >it was also present in a parent and or sibs. Haven't a clue!!>>
> >
> >Then it may not be a urologic problem, but perhaps a familial
> hemoglobinuric
> >syndrome?
> >
> >Joe P.
> >
> For this problem you need to ask for phase contrast microscopy of a
> good msu - this should tell you if the red cells are upper tract or
> lower tract - upper tract is nephrology ( and more common in young
> women). Often it may represent a mild glomerulonephritis if
> investigated far enough.
>
> Peter Wein
> Senior Lecturer
> Department of Obstetrics and Gynaecology
> University of Melbourne, Mercy Hospital for Women
> Clarendon Street, East Melbourne 3002
> Australia
> Tel: +61 3 9270 2556 Fax: +61 3 9417 5406 Mobile: 0414 691690

Thanks,

Gordon

--
Gordon M. Goldman, M.D., FACOG
General OB/Gyn - Private practice
St. Louis, Mo.




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