Haematuria
Management should include
- Check serum creatinine in all patients
- Check for proteinuria in all patients (quantitate protein/creatinine ratio if positive)
Visible (macroscopic) haematuria
- Usually fast track Urology referral for imaging and cystoscopy, unless strong pointers to acute renal disease
- Refer to nephrology if urological investigations negative
Invisible (microscopic) haematuria without proteinuria, GFR>60ml/min/1.73m2
- Age >40, usually refer to Urology (recommended age may vary locally)
- Age <40, or >40 with negative urological investigations, manage as Stage 1/2 CKD
Microscopic haematuria with prot/creat ratio >50mg/mmol
Information for patients