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An office approach to hematuria and proteinuria
Insights
Pediatricians can use this guide for evaluating children with blood or protein in urine, focusing on common causes and tests. It helps decide when to refer to specialists or consider a kidney biopsy.
Area of Science:
- Pediatrics
- Nephrology
- Urology
Background:
- Hematuria and proteinuria are common findings in pediatric patients.
- Accurate evaluation is crucial for timely diagnosis and management.
- A systematic approach aids pediatricians in managing these conditions.
Abstract:
An organized practical approach for the pediatrician to use in evaluating a child with hematuria or proteinuria emphasizes common conditions and stepwise laboratory/radiologic investigations. Additional points of emphasis include when to refer to a pediatric nephrologist or urologist and when to consider renal biopsy. Real case statistics and salient examples from the major published studies should assist the pediatrician in counseling the patient and his or her family, especially when there is no medical indication to refer to a specialist.
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