Gross (visible) or microscopic (nonvisible) blood in the urine
Symptomatic or asymptomatic
Microscopic hematuria in school-aged children: 0.4–4%
Burning, urgency, frequency: UTI
Dark cola-colored urine: glomerular origin
Clots: extraglomerular bleeding
Arthritis/arthralgias/rash: lupus, vasculitis, Henoch-Schönlein...
Prompt nephrology referral for proteinuria, red cell casts, elevated serum creatinine, and albumin:creatinine ratio ≥30 ...
R31.9 Hematuria, unspecified
R31.1 Benign essential microscopic hematuria
R31.0 Gross hematuria
R31.2 Other microscopic hematuria
N02.9 Recurrent and perst hematuria w unsp morphologic changes
Screening asymptomatic patients for microscopic hematuria is an “I” recommendation from the USPSTF.
Asymptomatic hematuria and hematuria persisting after treatment of UTIs must be evalu...
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