EVALUATION OF HEMATURIA

Hematuria

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

End

ANCA, antineutrophil cytoplasmic antibody; ASLO, antistreptolysin O; GBM, glomerular basement membrane; VDRL, Venereal Disease Research Laboratory.

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

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

Renal biopsy

Renal biopsy

Renal biopsy

Urine culture
Urine eosinophils

Urine culture
Urine eosinophils

Urine culture
Urine eosinophils

Pyuria, WBC casts

Pyuria, WBC casts

Pyuria, WBC casts

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

IVP +/- renal ultrasound

IVP +/- renal ultrasound

IVP +/- renal ultrasound

Urogenital biopsy and evaluation

Urogenital biopsy and evaluation

Urogenital biopsy and evaluation

Cystoscopy

Cystoscopy

Cystoscopy

Renal biopsy of mass/lesion

Renal biopsy of mass/lesion

Renal biopsy of mass/lesion

Follow periodic urinalysis

Follow periodic urinalysis

Follow periodic urinalysis

Renal CT scan

Renal CT scan

Renal CT scan