Which physical findings are characteristic of hematuria?

Updated: Jan 03, 2019
  • Author: Sanjeev Gulati, MD, MBBS, DNB(Peds), DM, DNB(Neph), FIPN(Australia), FICN, FRCPC(Canada); Chief Editor: Craig B Langman, MD  more...
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Answer

In the general physical examination, the most important step is to measure the blood pressure (with an appropriate-sized cuff) and evaluate for the presence of periorbital puffiness or peripheral edema. [6, 7]

  • A detailed skin examination is necessary to look for purpura.

  • An abdominal examination is indicated to look for palpable kidneys (Wilms tumor or hydronephrotic kidneys).

  • A careful examination of the genitalia is also important.

  • A detailed ophthalmological evaluation is helpful in familial hematurias.


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