Asymptomatic microscopic hematuria with proteinuria

Urine protein is usually > 2+ on dipstick; or, urine protein-to-creatinine ratio is > 0.2. Presence of proteinuria is more likely to be associated with glomerular disease but could be benign.

3. Asymptomatic microscopic hematuria without proteinuria. The cause for this group is almost always (> 90%) benign and may not require immediate evaluation, especially if the RBC count is low (< 5-10/HPF).

III. Differential Diagnosis. Categorized as either (1) outside of or (2) from the urinary tract. If from the urinary tract, it can either be from the upper tract (kidneys) or from the lower tract (ureter, bladder, or urethra). If from the kidneys, it can be either glomerular or non-glomerular in nature.

0 0

Post a comment