Hey what's going on guys and welcome to episode 75 of the physician

assistant boards dot-com podcast today's podcast is going to be discussing the

workup of the asymptomatic child who presents with hematuria in the office.

Now we're going to approach this as if you were in a family practice setting,

you know general medicine here.

And then you know we're going to go ahead and talk about when it's time to refer the patient.

So it's really going to be about the asymptomatic child here that we're going to be discussing.

You know, a lot of times you have a child that comes in for physical you do a routine you a dipstick and

you notice that the child has he materia I know when I first started you know I

would freak out and I would worry and I would think that there you know there's something

going on I need to refer to

morphology whatever. It's not the case you know the majority of patients that will present with

hematuria have a benign condition and it's really just like almost anything in medicine.

You know a patient will come in with something that might freak you out especially if you're a new graduate and you don't have that much experience

but a lot of the things that you'll see will either work themselves out or are not caused for alarm.

So this is one of those things where I don't want you to freak out if this happens to you,

but we're going to go ahead and discuss how to work this patient up

what are the things you have to ask what are the physical exam findings you're

going to look for the labs you're going to order so let's get started with

with the with the microscopic he material work in a child. Now like I said

the majority of patients that present with hematuria will have a benign

ideology right but who needs to be worked up and who can just be left alone.

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