Hematuria/proteinuria
Basics
Description
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/d
 - 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
Etiology
- Proteinuria:
- Glomerular:
- Nephritic (postinfectious, IgA, lupus, vasculitis)
 - Nephrotic (minimal change, diabetes, preeclampsia)
 
 - Tubular
 - Overflow (hemolysis, rhabdomyolysis, multiple myeloma)
 - Postrenal proteinuria
 
 - Glomerular:
 - Hematuria:
- UTI
 - Stones (renal, bladder)
 - BPH
 - Cancer (bladder, renal, prostate)
 - Transient unexplained
 - Acute glomerulonephritis
 
 
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Citation
Schaider, Jeffrey J., et al., editors. "Hematuria/proteinuria." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307730/all/Hematuria_proteinuria. 
Hematuria/proteinuria. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307730/all/Hematuria_proteinuria. Accessed November 3, 2025.
Hematuria/proteinuria. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307730/all/Hematuria_proteinuria
Hematuria/proteinuria [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2025 November 03]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307730/all/Hematuria_proteinuria.
* Article titles in AMA citation format should be in sentence-case
TY  -  ELEC
T1  -  Hematuria/proteinuria
ID  -  307730
ED  -  Barkin,Adam Z,
ED  -  Shayne,Philip,
ED  -  Rosen,Peter,
ED  -  Schaider,Jeffrey J,
ED  -  Barkin,Roger M,
ED  -  Hayden,Stephen R,
ED  -  Wolfe,Richard E,
BT  -  5-Minute Emergency Consult
UR  -  https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307730/all/Hematuria_proteinuria
PB  -  Lippincott Williams & Wilkins
ET  -  6
DB  -  Emergency Central
DP  -  Unbound Medicine
ER  -  

5-Minute Emergency Consult

