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Causes of Haemoglobinuria:


  • Intravascular haemolysis e.g. in severe exercises or severe
    burns.

  • Chemicals e.g. naphthalene and hydroquinone derivatives.

  • Mismatched blood transfusion.

  • Black water fever.

  • Paroxysmal cold Haemoglobulinuria.

  • Paroxysmal nocturnal Haemoglobulinuria.

  • Snake bites.

  • Vegetable toxins e.g. mushroom poisoning.

  • False Haemoglobinuria.

  • Trans-urethral prostatectomy with post operative washing with
    water, which when absorped cause hypotenicity of blood with
    consequent haemolysis.


iv. Bacteruria:



  • To collect a urine sample one of the following methods
    should be used:

    • Cleaning of the area around the urethra and a midstream
      urine is collected.

    • Urine specimen may be obtained by a urethral catheter
      (especially in females).

    • Supra-pubic puncture in children.



  • Detection of bacteruria is by colony count which is
    significant if >100,000/ml (indicate infection). False low
    count may occur with high urine flow, antibiotic treatment or
    contaminated container.

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