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Hematuria in Children
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Glomerular vs nonglomerular splits the workup.
Decision
Outcome
Decision
Pediatric hematuria. Source?
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Glomerular (brown urine, edema, HTN, proteinuria, RBC casts)
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Nonglomerular
Outcome
Workup: creatinine, CBC, complement, throat cultures (post-strep GN), kidney biopsy if needed
Decision
Symptomatic or asymptomatic?
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Symptomatic: trauma → CT; UTI → culture + abx; perineal irritation → reassure; stone (flank pain, crystals) → renal US
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Asymptomatic → renal US + urine culture + spot Ca:Cr ratio
Outcome
Targeted workup per symptom; treat underlying
Outcome
Evaluate hypercalciuria, idiopathic, hereditary nephritis (Alport)