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Hematuria& Proteinuria
- 4. Approaching Patients with Microscopic Hemuturia Dipstick Positive Exclude menstruation MSU confirm trauma, recent sexual activity, UTI,viral infection High risk Low risk *Male, age> 40 Treatment *Heavy smoking *Occupation exposure Ultrasound Repeat MSU of dye,aromatic amine *Voiding symptom Negative Positive *Hx urologic disorder *Hx pelvic RT Positive Negative Solved FU MSU ± US Fully investigation 6-12months * cystoscopy *IVP, US, CT
- 8. Proteinuria Dipstick> trace Exclude contamitation, UTI, prostatitis, orthostatic Repeat UA Negative Positive 24 hr urine protein Repeat Next 6M Positive Abnormal Sediment Isolated proteinuria Negative RC>5/HPF, cast Transient proteinuria Evaluated for systemic Nephritis disease: HT,DM, Hepatitis B,C
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