Nephrology: 2. Evaluation of asymptomatic hematuria and proteinuria in adult primary care.
Year: 2002
Type: article
Abstract: Ms. M, a 27-year-old woman with a complaint of mild fatigue, is found to have a positive uri-nary dipstick test for hematuria. The patient does not have gross hematuria, voiding symp-toms, renal colic or symptoms of systemic disease, such as infection or connective tissue dis-ease. She is not currently experiencing menstrual bleeding. She has never been known to have hematuria, although she has experienced occasional lower urinary tract infections. There is no history of occupational exposure to carcinogens, and Ms. M has been a lifelong nonsmoker. The family history is unremarkable with respect to renal disease. Physical examination reveals a blood pressure of 110/70 mm Hg, no edema, rash or abdominal findings. Does Ms. M have hematuria? Is the source glomerular or nonglomerular? Is she likely to have a serious urinary tract pathology such as a malignancy? What investigations are needed to determine the need for referral and the urgency of referral? Case 2 Mr. A, a 30-year-old man, is turned down for life insurance because of the presence of an un-specified amount of proteinuria. His past medical history is unremarkable, and he is not taking any medications. There is no history of diabetes or hypertension. His family history is negative for diabetes or renal diseases. At the time of assessment, Mr. A is a cigarette smoker but says that he does not consume alcohol or use recreational drugs. He has no voiding symptoms or anything suggestive of a systemic infectious or inflammatory condition. He was recently mar-ried and is employed as a locksmith. Physical examination reveals a fit male with a blood pressure of 125/76 mm Hg. The results of examination of his chest, abdomen and extremities are normal, and there is no edema, rash, lymphadenopathy or joint inflammation. Does Mr. A have serious renal disease? What investigations are needed to determine the nature and sever-ity of the proteinuria? Nephrology: 2. Evaluation of asymptomatic hematuria and proteinuria in adult primary care
Source: PubMed
Authors: Andrew A House, Daniel C Cattran
Institutions: Western University, London Health Sciences Centre
Language: English
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2098243634