5-Minute Emergency Consult
Hematuria/proteinuria
Hematuria/proteinuria is a topic covered in the 5-Minute Emergency Consult.
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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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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
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/307730/all/Hematuria_proteinuria.
Hematuria/proteinuria. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307730/all/Hematuria_proteinuria. Accessed July 4, 2020.
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 (5th edition). Lippincott Williams & Wilkins. Retrieved July 04, 2020, from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307730/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 2020 July 04]. 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
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ED - Schaider,Jeffrey J,
BT - 5-Minute Emergency Consult
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PB - Lippincott Williams & Wilkins
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