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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
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
This article has been cited by other articles:
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