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Hematuria/proteinuria

Hematuria/proteinuria is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

  • Microscopic hematuria: ≥3 red blood cells per high-power field in 2 of the 3 properly collected urine specimens
  • Gross hematuria: Visible blood in properly collected urine specimen
  • Proteinuria: Urinary protein excretion of >150 mg/day
  • Risk factors for disease in asymptomatic proteinuria:
    • Diabetes
    • HTN
    • NSAID abuse
    • Heroin use
  • Risk factors for disease in asymptomatic hematuria:
    • Tobacco use
    • Occupational exposure to benzenes, aromatic amines, and dyes
    • History of gross hematuria
    • Age >40 yr old
    • History of urologic disorder or disease
    • History of painful voiding
    • History of UTI
    • Analgesic abuse
    • History of pelvic irradiation

Etiology

  • Proteinuria:
    • Glomerular:
      • Nephritic (postinfectious, IgA, lupus, vasculitis)
      • Nephrotic (minimal change, diabetes, preeclampsia)
    • Tubular
    • Overflow (hemolysis, rhabdomyolysis, multiple myeloma)
  • Hematuria:
    • UTI
    • Stones (renal, bladder)
    • BPH
    • Cancer (bladder, renal, prostate)
    • Transient unexplained
    • Acute glomerulonephritis

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Citation

Rosen, Peter, et al., editors. "Hematuria/proteinuria." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307691/all/Hematuria_proteinuria.
Hematuria/proteinuria. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307691/all/Hematuria_proteinuria. Accessed April 24, 2019.
Hematuria/proteinuria. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307691/all/Hematuria_proteinuria
Hematuria/proteinuria [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 24]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307691/all/Hematuria_proteinuria.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Hematuria/proteinuria ID - 307691 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307691/all/Hematuria_proteinuria PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -