2022年医学专题—症状学12.尿频血尿(1).pptVIP免费

SymptomsandsignsofthekidneySymptomsandsignsofthekidneyandurinarysystemandurinarysystem第一页，共三十六页。第一页，共三十六页。SlideSlide22SymptomsandsignsofthekidneyandurinarysystemAlterationsinurinecompositionAlterationsinurinecomposition(haematuria,(haematuria,proteinuria,bacteriua,leucocyturia,calculi)proteinuria,bacteriua,leucocyturia,calculi)DisordersofMicturationDisordersofMicturation(frequency,urgency,dysuria,(frequency,urgency,dysuria,incontinence,incontinence,retention)retention)DisordersofUrinevolumeDisordersofUrinevolume(oliguria,anuria,polyuria)(oliguria,anuria,polyuria)Loindullpain(pyelonephritis,obstruction),renalLoindullpain(pyelonephritis,obstruction),renalcolic(acuteobstruction)colic(acuteobstruction)OedemaOedema(hypoalbuminaemia,saltandwaterretention)(hypoalbuminaemia,saltandwaterretention)SymptomsofUraemiaSymptomsofUraemia(nausea,vomiting,lethargy)(nausea,vomiting,lethargy)第二页，共三十六页。第二页，共三十六页。血血尿尿HaematuriaHaematuria第三页，共三十六页。第三页，共三十六页。SlideSlide44HematuriaHematuriaDefinitionDefinitionCausesCausesLocalizationandpathogenesisLocalizationandpathogenesisAssociatedsymptomsAssociatedsymptomsEvaluationofHematuriaEvaluationofHematuriaCasestudyCasestudy第四页，共三十六页。第四页，共三十六页。SlideSlide55DefinitionofhematuriaDefinitionofhematuriaMicroscopicevaluationofurinarysediment:freshlyvoidedMicroscopicevaluationofurinarysediment:freshlyvoided(10ml),centrifuged(1500rpmfor5min)(10ml),centrifuged(1500rpmfor5min)urinesediment:urinesediment:RBC3/HPonatleast2out3collectedspecimensonatleast2out3collectedspecimensDipsticktest：freehemoglobin&myoglobinmyoglobin,needconfirmationTwoTypesofHematuriaTwoTypesofHematuriaGrosshematuria(>1mlGrosshematuria(>1ml/l):/l):brightred,tea-coloredbrownorbrightred,tea-coloredbrownorcocacolacocacolaMicroscopichematuria:theurineisclear,RBCcanbeseenunderaMicroscopichematuria:theurineisclear,RBCcanbeseenunderamicroscopeortestedinalab(byflowcytometry)...