Approach to the Patient with Hematuria

Chapter

Abstract

An 83-year-old man presents with painless gross hematuria. The patient’s history is notable for a 50 pack-year history of smoking. He is afebrile with a blood pressure of 128/64. Physical examination is notable for an enlarged prostate but shows no rash, edema, or abnormal abdominal findings. Serum creatinine is within normal limits. A dipstick urinalysis shows 3+ blood and trace proteinuria.

Keywords

Fatigue Hepatitis Hydration Benzene Creatinine 

References

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Suggested Reading

  1. Grossfeld GD, Litwin MS, Wolf JS, Hricak H, Shuler CL, Agerter DC, Carroll PR. Evaluation of asymptomatic microscopic hematuria in adults: the American Urological Association best practice policy. Part II: Patient evaluation, cytology, voided markers, imaging, cystoscopy, nephrology evaluation, and follow-up. Urology. 2001;57:605–10.Google Scholar
  2. Rodgers M, Nixon J, Hempel S, Aho T, Kelly J, Neal D, Duffy S, Kleijnen J, Westwood M. Diagnostic tests & algorithms used in the investigation of haematuria: systematic reviews & economic evaluation. Health Technol Assess. 2006;10:1–276.Google Scholar
  3. Swaminathan S, Leung N, Lager DJ, Melton 3rd LJ, Bergstralh EJ, Rohlinger A, Fervenza FC. Changing incidence of glomerular disease in Olmsted County, Minnesota: a 30-year renal biopsy study. Clin J Am Soc Nephrol. 2006;1:483–7.PubMedCrossRefGoogle Scholar
  4. Ohisa N, Yoshida K, Matsuki R, Suzuki H, Miura H, Ohisa Y, Murayama N, Kaku M, Sato H. Comparison of urinary albumin–total protein ratio to phase-contrast microscopic examination of urine sediment for differentiating glomerular and nonglomerular bleeding. Am J Kidney Dis. 2008;52:235–41.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Medicine (Nephrology)Medical College of WisconsinMilwaukeeUSA

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