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Clinical Practice
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Volume 348:2330-2338 June 5, 2003 Number 23
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Microscopic Hematuria
Robert A. Cohen, M.D., and Robert S. Brown, M.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

An otherwise healthy 48-year-old woman is found to have microscopic hematuria (5 red cells per high-power field) on a urinalysis performed by a life insurance company. No other laboratory abnormalities are identified; the serum creatinine concentration is 0.8 mg per deciliter (70.7 µmol per liter). The woman reports no symptoms and is a nonsmoker. Her blood pressure is 118/74 mm Hg, and . . . [Full Text of this Article]

The Clinical Problem

Definitions

Clinical Relevance

Strategies and Evidence

Urinalysis

Imaging of the Upper Urinary Tract

Evaluation of the Lower Urinary Tract

Cytologic Studies of Urine

Follow-up after Negative Evaluation

Areas of Uncertainty

Guidelines

Conclusions and Recommendations


Source Information

From the Division of Nephrology, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston.

Address reprint requests to Dr. Cohen at the Division of Nephrology, Beth Israel Deaconess Medical Center, 330 Brookline Ave., DA517, Boston, MA 02115, or at rcohen@bidmc.harvard.edu.


Related Letters:

Microscopic Hematuria
Chan D., Ong A., Schoenberg M., Parmar M. S., Cohen R. A., Brown R. S.
Extract | Full Text | PDF  
N Engl J Med 2003; 349:1292-1293, Sep 25, 2003. Correspondence

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