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Hematuria, Pediatric

Stephanie Nguyen, MD, MAS and Jennifer H. Yang, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Hematuria is defined as ≥3 to 5 RBCs per high-power field (HPF) using a standard urinalysis technique on a centrifuged sample.

  • Persistent hematuria: hematuria on >2 separate examin...

DIAGNOSIS

  • No identifiable cause is found in the majority (up to 80%) of children with asymptomatic microscopic hematuria and in up to 30% of children with a single episode of gross hematuria.

  • Approach ...

TREATMENT

GENERAL MEASURES

  • For children with microscopic hematuria, in the absence of other clinical, laboratory, or imaging findings, no specific treatment is indicated besides routine follow-up.

  • For c...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

A healthy child with asymptomatic isolated hematuria and a negative workup should be reassessed annually with a complete physical exam, measurem...

ADDITIONAL READING

  • Bergstein J, Leiser J, Andreoli S. The clinical significance of asymptomatic gross and microscopic hematuria in children. Arch Pediatr Adolesc Med.  2005;159(4):353–355. [View ...

CODES

ICD9

  • 599.70 Hematuria, unspecified

  • 599.72 Microscopic hematuria

  • 599.71 Gross hematuria

ICD10

  • R31.9 Hematuria, unspecified

  • R31.1 Benign essential microscopic hematuria

  • R31.0 Gross hematuria

  • R31.2 Other m...

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