Isolated microscopic hematuria (nonpainful, nontraumatic) with proteinuria. Initial imaging. While protein and blood in the urine can be harmless in some children, patients with both microscopic hematuria and leakage of protein into the urine (with or without hypertension and edema) are more likely to have glomerular renal disease and eventually develop progressive chronic kidney disease [22]. Imaging findings are usually not specific for any underlying pathology. US Kasap et al [23] showed that glomerulonephritis is a frequent cause of increased renal cortical echogenicity in childhood. The kidneys also may be enlarged in the setting of acute glomerulonephritis. In long-standing glomerular kidney disease, the kidneys may become atrophic with altered corticomedullary differentiation. Finally, US can help assess the feasibility of percutaneous kidney biopsy and aid in preprocedural planning. CT CT is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. IVU IVU is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. MRI MRI is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. Radiography Radiography (KUB) is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. VCUG VCUG is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. Voiding Urosonography Voiding urosonography is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. IVU IVU urography is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. Arteriography Arteriography is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. Variant 3: Child. Isolated macroscopic hematuria (nonpainful, nontraumatic). Initial imaging.
Hematuria Child. Isolated microscopic hematuria (nonpainful, nontraumatic) with proteinuria. Initial imaging. While protein and blood in the urine can be harmless in some children, patients with both microscopic hematuria and leakage of protein into the urine (with or without hypertension and edema) are more likely to have glomerular renal disease and eventually develop progressive chronic kidney disease [22]. Imaging findings are usually not specific for any underlying pathology. US Kasap et al [23] showed that glomerulonephritis is a frequent cause of increased renal cortical echogenicity in childhood. The kidneys also may be enlarged in the setting of acute glomerulonephritis. In long-standing glomerular kidney disease, the kidneys may become atrophic with altered corticomedullary differentiation. Finally, US can help assess the feasibility of percutaneous kidney biopsy and aid in preprocedural planning. CT CT is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. IVU IVU is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. MRI MRI is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. Radiography Radiography (KUB) is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. VCUG VCUG is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. Voiding Urosonography Voiding urosonography is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. IVU IVU urography is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. Arteriography Arteriography is not appropriate in the initial evaluation of isolated nonpainful, nontraumatic hematuria with proteinuria. Variant 3: Child. Isolated macroscopic hematuria (nonpainful, nontraumatic). Initial imaging.