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.