An approach to the evaluation and treatment of microscopic hematuria.

Abstract:

:Persistent microscopic hematuria in children is most often benign or untreatable. The evaluation of microscopic hematuria in an otherwise healthy child need not require invasive and costly laboratory studies. The initial evaluation must look for signs of life-threatening causes of hematuria, i.e., hypertension, edema, oliguria, or significant proteinuria. If these are absent, a stepwise evaluation is suggested, which includes microscopic examination of the urine for red blood cell casts, a test for proteinuria, serum creatinine, and serial follow-up. Renal biopsy may establish a diagnosis but rarely changes the treatment in a child with asymptomatic isolated microscopic hematuria.

journal_name

Pediatr Clin North Am

authors

Lieu TA,Grasmeder HM 3rd,Kaplan BS

doi

10.1016/s0031-3955(16)38119-6

subject

Has Abstract

pub_date

1991-06-01 00:00:00

pages

579-92

issue

3

eissn

0031-3955

issn

1557-8240

pii

S0031-3955(16)38119-6

journal_volume

38

pub_type

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