Hematuria (peds) - Revision history

Danbot: Add verified PubMed references (PMIDs 30504250, 32026313)

2026-03-22T10:49:46Z

Add verified PubMed references (PMIDs 30504250, 32026313)

← Revisión anterior		Revisión del 10:49 22 mar 2026
Línea 2:		Línea 2:
	==Background==		==Background==
	[[File:Macroscopic hematuria.png\|thumb\|Macroscopic Hematuria algorithm]]		[[File:Macroscopic hematuria.png\|thumb\|Macroscopic Hematuria algorithm]]
	*Hematuria in children can be gross (visible) or microscopic (detected only on urinalysis)		*Hematuria in children can be gross (visible) or microscopic (detected only on urinalysis)<ref>Viteri B, Reid-Adam J. Hematuria and Proteinuria in Children. Pediatr Rev. 2018 Dec;39(12):573-587. PMID 30504250</ref><ref>Vedula R, Iyengar AA. Approach to Diagnosis and Management of Hematuria. Indian J Pediatr. 2020 Aug;87(8):618-624. PMID 32026313</ref>
	*Defined as >5 RBCs per HPF on microscopy		*Defined as >5 RBCs per HPF on microscopy
	*Confirm true hematuria — rule out myoglobin (e.g. from [[rhabdomyolysis]]) or hemoglobin in urine; also rule out bleeding from non-urinary source (vaginal, rectal)		*Confirm true hematuria — rule out myoglobin (e.g. from [[rhabdomyolysis]]) or hemoglobin in urine; also rule out bleeding from non-urinary source (vaginal, rectal)

Danbot: Strip excess bold

2026-03-22T09:32:04Z

Strip excess bold

← Revisión anterior		Revisión del 09:32 22 mar 2026
Línea 6:		Línea 6:
	*Confirm true hematuria — rule out myoglobin (e.g. from [[rhabdomyolysis]]) or hemoglobin in urine; also rule out bleeding from non-urinary source (vaginal, rectal)		*Confirm true hematuria — rule out myoglobin (e.g. from [[rhabdomyolysis]]) or hemoglobin in urine; also rule out bleeding from non-urinary source (vaginal, rectal)
	*Common in pediatrics; most cases are benign (viral illness, exercise, minor trauma)		*Common in pediatrics; most cases are benign (viral illness, exercise, minor trauma)
	*Key EM concerns: ~~'''~~post-infectious [[glomerulonephritis]]~~'''~~ (most common nephritic cause), ~~'''~~[[hemolytic uremic syndrome]]~~'''~~ (HUS), [[trauma]], and urologic emergencies		*Key EM concerns: post-infectious [[glomerulonephritis]] (most common nephritic cause), [[hemolytic uremic syndrome]] (HUS), [[trauma]], and urologic emergencies

	===Common Causes by Age===		===Common Causes by Age===
	*~~'''~~Neonates/Infants~~'''~~: UTI, congenital anomalies, renal vein thrombosis, birth trauma		*Neonates/Infants: UTI, congenital anomalies, renal vein thrombosis, birth trauma
	*~~'''~~Young children~~'''~~: UTI, glomerulonephritis, Wilms tumor, trauma		*Young children: UTI, glomerulonephritis, Wilms tumor, trauma
	*~~'''~~School age~~'''~~: post-streptococcal GN, IgA nephropathy, UTI, nephrolithiasis, trauma		*School age: post-streptococcal GN, IgA nephropathy, UTI, nephrolithiasis, trauma
	*~~'''~~Adolescents~~'''~~: UTI, nephrolithiasis, IgA nephropathy, exercise-induced		*Adolescents: UTI, nephrolithiasis, IgA nephropathy, exercise-induced

	==Clinical Features==		==Clinical Features==
Línea 28:		Línea 28:

	===Physical Exam===		===Physical Exam===
	*Vital signs including blood pressure (~~'''~~hypertension~~'''~~ suggests glomerulonephritis)		*Vital signs including blood pressure (hypertension suggests glomerulonephritis)
	*Edema (facial, periorbital, pedal — nephritic or nephrotic syndrome)		*Edema (facial, periorbital, pedal — nephritic or nephrotic syndrome)
	*Abdominal exam: flank tenderness, masses (Wilms tumor)		*Abdominal exam: flank tenderness, masses (Wilms tumor)
Línea 47:		Línea 47:
	==Evaluation==		==Evaluation==
	===Initial===		===Initial===
	*~~'''~~[[Urinalysis]]~~'''~~ with microscopy: RBCs, RBC casts (glomerular), WBCs (infection), protein		*[[Urinalysis]] with microscopy: RBCs, RBC casts (glomerular), WBCs (infection), protein
	*~~'''~~Urine culture~~'''~~ if UTI suspected		*Urine culture if UTI suspected
	*~~'''~~[[BMP]]~~'''~~: creatinine, BUN, electrolytes (renal function)		*[[BMP]]: creatinine, BUN, electrolytes (renal function)
	*~~'''~~[[CBC]]~~'''~~ with smear: anemia, thrombocytopenia (HUS), schistocytes		*[[CBC]] with smear: anemia, thrombocytopenia (HUS), schistocytes
	*~~'''~~Blood pressure measurement~~'''~~ (critical — hypertension suggests renal parenchymal disease)		*Blood pressure measurement (critical — hypertension suggests renal parenchymal disease)

	===Glomerular Hematuria Suspected (Cola-Colored, RBC Casts, Proteinuria)===		===Glomerular Hematuria Suspected (Cola-Colored, RBC Casts, Proteinuria)===
Línea 72:		Línea 72:

	===Imaging===		===Imaging===
	*~~'''~~Renal/bladder ultrasound~~'''~~: hydronephrosis, stones, masses, structural anomalies		*Renal/bladder ultrasound: hydronephrosis, stones, masses, structural anomalies
	*CT without contrast if nephrolithiasis strongly suspected (less commonly needed in pediatrics)		*CT without contrast if nephrolithiasis strongly suspected (less commonly needed in pediatrics)
	*CT with contrast for trauma evaluation		*CT with contrast for trauma evaluation
Línea 83:		Línea 83:

	===Condition-Specific===		===Condition-Specific===
	*~~'''~~UTI~~'''~~: antibiotics appropriate for age (see [[UTI (peds)]])		*UTI: antibiotics appropriate for age (see [[UTI (peds)]])
	*~~'''~~Post-streptococcal GN~~'''~~: supportive care, sodium restriction, antihypertensives for BP control, diuretics for fluid overload; typically self-limited		*Post-streptococcal GN: supportive care, sodium restriction, antihypertensives for BP control, diuretics for fluid overload; typically self-limited
	*'''HUS''': supportive care, aggressive fluid management, transfusions as needed, dialysis if oliguric/anuric; do NOT give antibiotics for STEC-HUS (may worsen course); nephrology and hematology consultation		*'''HUS''': supportive care, aggressive fluid management, transfusions as needed, dialysis if oliguric/anuric; do NOT give antibiotics for STEC-HUS (may worsen course); nephrology and hematology consultation
	*~~'''~~Nephrolithiasis~~'''~~: IV fluids, analgesia ([[ibuprofen]] + [[acetaminophen]]), urology follow-up		*Nephrolithiasis: IV fluids, analgesia ([[ibuprofen]] + [[acetaminophen]]), urology follow-up
	*~~'''~~Wilms tumor~~'''~~: surgical oncology consultation		*Wilms tumor: surgical oncology consultation
	*~~'''~~[[IgA vasculitis]]~~'''~~ (HSP): supportive care; nephrology if renal involvement		*[[IgA vasculitis]] (HSP): supportive care; nephrology if renal involvement

	==Disposition==		==Disposition==

Danbot: Expanded with EM-focused content: causes by age, red flags, GN/HUS workup, management by condition, disposition

2026-03-20T23:38:21Z

Expanded with EM-focused content: causes by age, red flags, GN/HUS workup, management by condition, disposition

@@ Línea 2: / Línea 2: @@
 ==Background==
 [[File:Macroscopic hematuria.png|thumb|Macroscopic Hematuria algorithm]]
-*Make sure hematuria is not myoglobin (e.g. 2/2 [[rhabdomyolysis]]) or bleeding from non-urinary source
+*Hematuria in children can be gross (visible) or microscopic (detected only on urinalysis)
-===Common Causes===
+===Common Causes by Age===
-*Pediatric patients
+*'''Neonates/Infants''': UTI, congenital anomalies, renal vein thrombosis, birth trauma
-**[[Glomerulonephritis]]
+*'''Young children''': UTI, glomerulonephritis, Wilms tumor, trauma
-**[[UTI]]
+*'''School age''': post-streptococcal GN, IgA nephropathy, UTI, nephrolithiasis, trauma
-**Congenital urinary tract anomaly
+*'''Adolescents''': UTI, nephrolithiasis, IgA nephropathy, exercise-induced
 ==Clinical Features==
 {{Types of hematuria}}
 ==Differential Diagnosis==
@@ Línea 22: / Línea 46: @@
 ==Evaluation==
-*[[Urinalysis]]
+===Initial===
 ==Management==
-*Treatment dependent on cause
+===General===
 ==Disposition==
-*Dependent on cause
+===Admit===
 ==See Also==
 *[[Hematuria]] (adult)
 ==External Links==
 ==References==

Ostermayer at 17:18, 17 January 2026

2026-01-17T17:18:49Z

← Revisión anterior		Revisión del 17:18 17 ene 2026
Línea 1:		Línea 1:
	{{~~Peds top~~}} ~~[[hematuria]]~~		{{PediatricPage\|hematuria}}
	==Background==		==Background==
	[[File:Macroscopic hematuria.png\|thumb\|Macroscopic Hematuria algorithm]]		[[File:Macroscopic hematuria.png\|thumb\|Macroscopic Hematuria algorithm]]

Rossdonaldson1: /* Disposition */

2024-01-24T19:37:01Z

Disposition

← Revisión anterior		Revisión del 19:37 24 ene 2024
Línea 28:		Línea 28:

	==Disposition==		==Disposition==
			*Dependent on cause

	==See Also==		==See Also==

Rossdonaldson1: /* Management */

2024-01-24T19:36:52Z

Management

← Revisión anterior		Revisión del 19:36 24 ene 2024
Línea 25:		Línea 25:

	==Management==		==Management==
			*Treatment dependent on cause

	==Disposition==		==Disposition==

Rossdonaldson1: /* See Also */

2021-07-28T22:06:09Z

ClaireLewis at 03:08, 17 April 2021

2021-04-17T03:08:47Z

← Revisión anterior		Revisión del 03:08 17 abr 2021
Línea 2:		Línea 2:
	==Background==		==Background==
	[[File:Macroscopic hematuria.png\|thumb\|Macroscopic Hematuria algorithm]]		[[File:Macroscopic hematuria.png\|thumb\|Macroscopic Hematuria algorithm]]
	*Make sure hematuria is not myoglobin or bleeding from non-urinary source		*Make sure hematuria is not myoglobin (e.g. 2/2 [[rhabdomyolysis]]) or bleeding from non-urinary source

	===Common Causes===		===Common Causes===

Rossdonaldson1: /* Evaluation */

2021-02-27T18:38:11Z

Evaluation

← Revisión anterior		Revisión del 18:38 27 feb 2021
Línea 22:		Línea 22:

	==Evaluation==		==Evaluation==
			*[[Urinalysis]]

	==Management==		==Management==

Rossdonaldson1: /* Clinical Features */

2021-02-27T18:37:02Z

Clinical Features

← Revisión anterior		Revisión del 18:37 27 feb 2021
Línea 16:		Línea 16:

	==Clinical Features==		==Clinical Features==
			{{Types of hematuria}}

	==Differential Diagnosis==		==Differential Diagnosis==

← Revisión anterior		Revisión del 22:06 28 jul 2021
Línea 31:		Línea 31:

	==See Also==		==See Also==
			*[[Hematuria]] (adult)

	==External Links==		==External Links==