The scenario
A child presents with microscopic hematuria on urinalysis. The diagnostic approach must differentiate glomerular from nonglomerular sources, based on clinical and laboratory features.
What is in this drawing
Read the decisions behind it.
01
Is the hematuria persistent on repeat testing?
02
Are there signs of glomerular disease (dysmorphic RBCs, proteinuria, renal impairment)?
03
If nonglomerular, is the renal ultrasound abnormal?
Use this flowchart when evaluating a child with incidentally discovered asymptomatic microscopic hematuria.
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