Rare Diseases Community
Persistent Hematuria in a 4 - 5 year old
About This Community:

This patient support community is for discussions relating to rare diseases and disorders. Some example include: Aarskog syndrome, Acoustic Neuroma, Angelman Syndrome, Behcet Syndrome, Bell’s Palsy, Canavan Disease, Carbon Baby Syndrome, Charcot Marie Tooth Disease, Chromosome Monosomy Disorders, Chromosome Trisomy Disorders, Devic's Disease, Dystonia, Ewing’s Sarcoma, Fragile X Syndrome, Immune Thrombocytopenia, Kawasaki Syndrome,Maple Syrup Urine Disease, Mastocytosis, McCune Albright syndrome, Pachygyria, Polycystic Kidney Disease, Prader-Willi Syndrome, Reiter’s Syndrome, Sickle cell anemia, Sturge-Weber syndrome, Trisomy Disorders, Usher Syndrome, Xanthinuria, Zollinger-Ellison syndrome.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Persistent Hematuria in a 4 - 5 year old

My now 5 year old daughter has had repeated labs with blood +1 and +2.  The most recent was +2 and Positive for Ketones.  Can someone look at this and tell me if I am doing enough?  I have taken her to a pediatric nephrologist who said just to follow up every year.  We have had the tests below and normal ultrasound imaging.  She has occasional, sporadic frequency and urgency.  Never any protein. As an infant, she was diagnosed with vesicoureteral reflux, but after a year, her imaging showed no signs of it.  Her maternal grandmother has autoimmune hepatitis.  Mother has Fibromyalgia.  No family history of bleeding or renal issues.  Thanks for taking the time to talk to a worried mom.

URINALYSIS COMPLETE - 08/28/12
Results:
- U GLU: NEGATIVE  
- U BILI: NEGATIVE  
- U KET: NEGATIVE  
- U SG: >=1.030  
- U BLD: 1+  
- U PH: 6.0  
- U PRO: NEGATIVE  
- U URO: 0.2  
- U NIT: NEGATIVE  
- U LEUK: NEGATIVE  
- U WBC: 6-10  
- U RBC: occ  
- U EPI CELLS: Present  
- U BAC: Trace  
URINALYSIS COMPLETE - 10/11/12
Results:
- U GLU: NEGATIVE  
- U BILI: NEGATIVE  
- U KET: NEGATIVE  
- U SG: 1.025  
- U BLD: 2+  
- U PH: 6.0  
- U PRO: NEGATIVE  
- U URO: 0.2  
- U NIT: NEGATIVE  
- U LEUK: NEGATIVE  
- U WBC: 0-3  
- U RBC: 1-4  
- U EPI CELLS: Present  
- U BAC: Trace  
- MUC: Present  
• URINALYSIS COMPLETE - 10/09/12
Results:
- U GLU: NEGATIVE  
- U BILI: NEGATIVE  
- U KET: NEGATIVE  
- U SG: >=1.030  
- U BLD: 2+  
- U PH: 6.0  
- U PRO: NEGATIVE  
- U URO: 0.2  
- U NIT: NEGATIVE  
- U LEUK: NEGATIVE  
- U WBC: 1-4  
- U RBC: 6-12  
- U EPI CELLS: Present
- U BAC: Trace  
- MUC: Present


1. MICROSCOPIC HEMATURIA (599.72)
• URINALYSIS COMPLETE W/ CULTURE
• CALCIUM, RANDOM URINE (W/ CREATININE)
• CBC W/DIFF
• ULTRASOUND, KIDNEY
• BASIC METABOLIC PANEL
• ASO TITER
• C3 COMPLEMENT
• ANA W/REFLEX IF POSITIVE
Imaging/Diagnostic Result - 10/12/12
Notes - ultrasound kidney
•  C3 COMPLEMENT - 10/11/12
Result:
- COMPLEMENT C3, SERUM: 122  
•  GRAM NEGATIVE SENSITIVITY - 10/11/12
Results:
- SXT: R  
- CEPHALOTHIN: I  
- NITROFURANTOIN: S  
- GENTAMICIN: S  
- CIPRO: R  
- NORFLOXACIN: R  
- AMOXICILLIN: S  
- CARBENICILLIN: R  
- OFLOXACIN: R  
- AMPICILLIN: R  
- CEFAZOLIN: S  
- CEFTRIAXONE: S  
• ORGANISM IDENTIFICATION - 10/11/12
Result:
- ORG ID: Cit amalonaticus  
• CULTURE, URINE - 10/11/12
Results:
- 24 HR REPORT: 41,000-50,000GNO  
- OXIDASE: NEGATIVE  
- ORG ID: Cit amalonaticus  
• ASO - 10/11/12
Result:
- ANTISTREPTOLYSIN O AB: 7.0  
• ANA W/REFLEX IF POSITIVE - 10/11/12
Result:
- ANA DIRECT: NEGATIVE  
• CALCIUM/CREATININE RATIO - 10/11/12
Results:
- CALCIUM, URINE: 22.6  
- CREATININE, URINE: 126.9  
- CALCIUM/CREAT.RATIO: 178  
• CULTURE, THROAT - 10/11/12
Result:
- ORG ID: Normal Flora  
• CBC - 10/11/12
Results:
- WBC: 4.46   Low
- RBC: 4.38  
- HGB: 13.0  
- HCT: 37.7  
- MCV: 86.0  
- MCH: 29.6  
- PLT: 266.00  
- MCHC: 34.5  
- MPV: 6.56   Low
- RDW: 11.5  
- NEU: 46.80  
- LYMPH: 25.80  
- EOS: 3.31  
- BASO: 1.86  
- MONO: 22.20   High
• BASIC METABOLIC PANEL - 10/11/12
Results:
- BUN: 14  
- CREA: 0.3   Low
- NA: 136.0  
- K: 4.10  
- CL: 104.0  
- CA: 9.6  
- CO2: 23.4  
- GLU: 89  

This week:
- U BLD: 2+, Ketones: Positive
Vitals
Blood Pressure: 100/68  
Height:  3 ft 11 in (93rd %)  Weight:  66 lbs 4 oz (99th %)  BMI:  21.1 (99th %)
Otherwise very healthy
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Rare Diseases Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank