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Hematuria &  Proteinuria
Causes of hematuria  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation and investigation for hematuria  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Approaching Patients with Microscopic Hemuturia Dipstick Positive Exclude  menstruation MSU confirm trauma, recent sexual activity, UTI,viral infection High risk  Low risk *Male, age> 40 Treatment *Heavy smoking   *Occupation exposure Ultrasound Repeat MSU   of dye,aromatic amine  *Voiding symptom Negative  Positive  *Hx urologic disorder *Hx pelvic RT     Positive  Negative Solved    FU   MSU ± US Fully   investigation   6-12months * cystoscopy *IVP, US, CT
Proteinuria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of proteinuria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Measurement of proteinuria  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Proteinuria Dipstick> trace Exclude contamitation, UTI, prostatitis, orthostatic Repeat UA Negative Positive 24 hr urine protein Repeat Next 6M Positive   Abnormal Sediment  Isolated proteinuria Negative   RC>5/HPF, cast Transient proteinuria   Evaluated for systemic Nephritis   disease: HT,DM,   Hepatitis B,C

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Hematuria& Proteinuria

  • 1. Hematuria & Proteinuria
  • 2.
  • 3.
  • 4. Approaching Patients with Microscopic Hemuturia Dipstick Positive Exclude menstruation MSU confirm trauma, recent sexual activity, UTI,viral infection High risk Low risk *Male, age> 40 Treatment *Heavy smoking *Occupation exposure Ultrasound Repeat MSU of dye,aromatic amine *Voiding symptom Negative Positive *Hx urologic disorder *Hx pelvic RT Positive Negative Solved FU MSU ± US Fully investigation 6-12months * cystoscopy *IVP, US, CT
  • 5.
  • 6.
  • 7.
  • 8. Proteinuria Dipstick> trace Exclude contamitation, UTI, prostatitis, orthostatic Repeat UA Negative Positive 24 hr urine protein Repeat Next 6M Positive Abnormal Sediment Isolated proteinuria Negative RC>5/HPF, cast Transient proteinuria Evaluated for systemic Nephritis disease: HT,DM, Hepatitis B,C