Approach to the Pt with Hematuria - Flowchart
Approach to the Pt with Hematuria - Flowchart
«Flowchart»

Hematuria

Hematuria

Hematuria

Hematuria

Proteinuria (>500 mg/24 h), Dysmorphic RBCs or RBC casts

Proteinuria (>500 mg/24 h), Dysmorphic RBCs or RBC casts

Proteinuria (>500 mg/24 h), Dysmorphic RBCs or RBC casts

Serologic and hematologic evaluation: blood cultures, anti-GBM antibody, ANCA, complement levels, cryoglobulins, hepatitis B and C serologies, VDRL, HIV, ASLO

Serologic and hematologic evaluation: blood cultures, anti-GBM antibody, ANCA, complement levels, cryoglobulins, hepatitis B and C serologies, VDRL, HIV, ASLO

Serologic and hematologic evaluation: blood cultures, anti-GBM antibody, ANCA, complement levels, cryoglobulins, hepatitis B and C serologies, VDRL, HIV, ASLO

Renal biopsy

Renal biopsy

Renal biopsy

Urine culture
Urine eosinophils

Urine culture
Urine eosinophils

Urine culture
Urine eosinophils


Hemoglobin electrophoresis
Urine cytology
UA of family members
24 h urinary calcium/uric acid

Hemoglobin electrophoresis
Urine cytology
UA of family members
24 h urinary calcium/uric acid

Hemoglobin electrophoresis
Urine cytology
UA of family members
24 h urinary calcium/uric acid




"

"

"

As indicated: retrograde pyelography or arteriogram, or cyst aspiration

As indicated: retrograde pyelography or arteriogram, or cyst aspiration

As indicated: retrograde pyelography or arteriogram, or cyst aspiration

Urogenital biopsy and evaluation

Urogenital biopsy and evaluation

Urogenital biopsy and evaluation

Renal biopsy of mass/lesion

Renal biopsy of mass/lesion

Renal biopsy of mass/lesion

Follow periodic urinalysis

Follow periodic urinalysis

Follow periodic urinalysis

End

End

End

-

+

Hemoglobin electrophoresis

Urine cytology

UA of family members

24 h urinary calcium/uric acid

Hemoglobin electrophoresis

Urine cytology

UA of family members

24 h urinary calcium/uric acid

Hemoglobin electrophoresis

Urine cytology

UA of family members

24 h urinary calcium/uric acid

Pyuria, WBC casts

Pyuria, WBC casts

Pyuria, WBC casts

-

+

IVP +/- Renal ultrasound

IVP +/- Renal ultrasound

IVP +/- Renal ultrasound

-

+

Cystoscopy

Cystoscopy

Cystoscopy

-

+

Renal CT scan

Renal CT scan

Renal CT scan

-

+