Emergency Medicine articles covering diagnosis, lab studies, imaging, procedures, prehospital care, emergency department care, prognosis, follow-up.
What characteristics of the clinical evaulation and urinalysis suggest a glomerular (nephrological), as opposed to a nonglomerular (renal pelvis, ureter, bladder, etc), cause of hematuria?
2+ or greater proteinuria
RBC casts
presence of at least 80% dysmorphic RBCs
elevated blood pressure
If the clinical evaluation and urinalysis suggest a glomerular cause of hematuria, then renal function should be measured and nephrology consult considered.
Source
Jimbo, M. "Evaluation and Management of Hematuria" Prim Car Clin Office Pract. 2010.
A 35 year old man presents with low back pain which radiates down his right leg to the level of the knee. Is this sciatica? Low back pa...
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