Causes of haematuria

Renal causes TTP PING

• Tubulointerstitial nephritis
• Trauma
• PCKD
• Papillary necrosis
• Neoplasia
• Infection (pyelonephritis)
• GN

Extrarenal CINT

• Calculi
• Infection (cystitis, prostatitis, urethritis)
• Neoplasia (bladder, prostate, urethra)
• Trauma (E.g. from catheter)

Causes of false +ve dipstick haematuria

• Haemoglobinuria
• Myoglobin e.g. in rhabdomyolysis
• Beetroot
• Porphyria
• Alkaptonuria
• Rifampicin
• Phenindione
• Phenolphthalein

Tests
Urine MC&S
CBC
ESR & CRP
U&E
Clotting
...
AXR/KUB
Urine cytology
Estimation of proteinuria
Renal US +/- renal biopsy