eMedicine Specialties > Pediatrics: General Medicine > Nephrology
Hematuria: Follow-up
Updated: Feb 24, 2009
Follow-up
Further Outpatient Care
- Patients with persistent microscopic hematuria should be monitored at 6-month to 12-month intervals for the appearance of signs or symptoms indicative of progressive renal disease. Prominent among them are proteinuria, hypertension, and a decrease in renal function.
Prognosis
- The prognosis of patients with asymptomatic isolated hematuria is good.
- The ultimate prognosis for the various conditions associated with hematuria depends on the primary medical condition that caused the hematuria in the first place.
Patient Education
- Inform children and their parents that strenuous exercise may aggravate hematuria; however, hematuria by itself should not prevent the child from participating in sports.
- Despite the sometimes alarming intensity or persistence of hematuria, parents must be informed that, by itself, hematuria rarely causes anemia.
- For excellent patient education resources, visit eMedicine's Kidneys and Urinary System Center. Also, see eMedicine's patient education article Blood in the Urine.
Miscellaneous
Medicolegal Pitfalls
- Failure to make the correct diagnosis in patients with hematuria is a pitfall.
- All (urine) that glitters (red) is not blood: Confirming that a child with red-colored urine has hematuria is mandatory. Dip strip analysis is critically important in patients with dark or abnormal-appearing urine because several substances may discolor the urine and give the appearance of hematuria. Some examples include hemoglobin, myoglobin, beets, blackberries, urates, rifampin, and phenazopyridine.
More on Hematuria |
| Overview: Hematuria |
| Differential Diagnoses & Workup: Hematuria |
| Treatment & Medication: Hematuria |
Follow-up: Hematuria |
| Multimedia: Hematuria |
| References |
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References
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Further Reading
Keywords
hematuria, isolated hematuria, glomerular hematuria, nonglomerular hematuria, proteinuria, cystitis, renal disease, hypertension, abnormal serum creatinine levels, idiopathic hypercalciuria, sickle cell disease, Alport syndrome, lupus nephritis, Wilms tumor, postinfectious glomerulonephritis, renal cell carcinoma, bladder tumors, prostatic tumors, urinary tract infection, hydronephrosis, oliguria, collagen vascular disorder, arthritis, Henoch-Schönlein purpura, systemic lupus erythematosus, polycystic kidney disease, urolithiasis, IgA nephropathy, hemolytic-uremic syndrome, membranoproliferative glomerulonephritis, anaphylactoid purpura
Follow-up: Hematuria