Saturday 29 October 2016

HEMATURIA PRURIA

The presence of protein is significant. Proteinuria suggests the kidney itself is damaged and concerted efforts must be made to find out how. Haematuria alone may cause a dipstick to read up to 2+ for protein but this should be better defined by sending the urine for a protein:creatinine ratio which will much more accurately quantify the loss. Leucs and particularly nitrites suggest a urinary tract infection as the cause. This should be confirmed with microscopy and culture and can then be treated according the usual UTI protocols.

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