ESPN 50th Annual Meeting

ESPN 2017


 
A SIMPLIFIED APPROACH TO THE CHILD WITH HEMATURIA
MEESTERS KEVIN 2 VANDE WALLE JOHAN 1

1- DEPARTMENT OF PEDIATRIC NEPHROLOGY, GHENT UNIVERSITY HOSPITAL, GHENT, (BELGIUM)
2- DEPARTMENT OF PEDIATRICS, UNIVERSITAIR ZIEKENHUIS BRUSSEL, VRIJE UNIVERSITEIT BRUSSEL, BRUSSELS (BELGIUM)
 
Introduction:

Hematuria is a frequent reason for consultation of pediatric nephrologists. However, hematuria in children is usually a less frequent complaint for consulting community medical settings. Furthermore, many cases of hematuria are tansient and do not recur. This frequently results in diagnostic dilemmas, as unnecessary investigations and treatment should be avoided. However, children suffering any serious renal or urologic disease, should urgently be referred to a pediatric subspecialist. In this abstract, we present our simplified approach to the child with hematuria.

Material and methods:

 By means of a literature review and a review of charts of patients who were referred to pediatric nephrology clinic, we developed a structured and simplified approach to the child with hematuria.

Results:

A thorough history and complete physical examination should be the first step in all children evaluated for hematuria. However, children with any indication of traumatic hematuria, or signs of severy systemic illnesses such as sepsis, should urgently be treated according to applicable protocols such as APLS guidelines. In selected cases, different urinalyses are usually a rational next step in the diagnostic process .Other tests, such as radiology and lab tests, should be performed with clear indications. An adequate follow-up is mandatory for all children presenting with hematuria.

 

Conclusions:

The diagnostic work-up of hematuria can be simplified using a structured approach.