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How To Treat Asymptomatic Gross Hematuria?
My brother is 15 years old.His problem is asymptomatic gross hematuria which is remittant(attacks of gross hematuria interrupted by attacks of microscopic ones).Investigations revealed the following:
1.moderately elevated high ESR.
2.ASOT is about 600.
3.CRP is 6.
4.kidney functions are naormal.
5.serum C3 level is normal.
6.ultrasonography of the urinary system showed a normal condition.
7.Echo. and ECG are good.
8.Vision and hearing are good.
9.Normal CBC and ABG.
10.serum glucose,cholesterol and albumin levels are normal.
His arterial blood pressure is 100/60.There a history of poststreptococcal glomerulonephritis.
In your opinion,how can we approach the true diagnosis?
Thanks,
Amr Khafagy
Egypt
1.moderately elevated high ESR.
2.ASOT is about 600.
3.CRP is 6.
4.kidney functions are naormal.
5.serum C3 level is normal.
6.ultrasonography of the urinary system showed a normal condition.
7.Echo. and ECG are good.
8.Vision and hearing are good.
9.Normal CBC and ABG.
10.serum glucose,cholesterol and albumin levels are normal.
His arterial blood pressure is 100/60.There a history of poststreptococcal glomerulonephritis.
In your opinion,how can we approach the true diagnosis?
Thanks,
Amr Khafagy
Egypt
Tue, 8 Aug 2017
Respected user , Hi
Thanks for using Healthcaremagic.com
I have evaluated your query thoroughly .
* As ASO titer is > 600 it suggest possibility of underlying scarlet fever ,
toxic shock syndrome , streptococcal infection .
* Need further work up with blood culture , CT IVP with renal biopsy
according to the clinical judgement .
Hope this will help you .
Welcome for any further guidance .
Regards dear take care .
Thanks for using Healthcaremagic.com
I have evaluated your query thoroughly .
* As ASO titer is > 600 it suggest possibility of underlying scarlet fever ,
toxic shock syndrome , streptococcal infection .
* Need further work up with blood culture , CT IVP with renal biopsy
according to the clinical judgement .
Hope this will help you .
Welcome for any further guidance .
Regards dear take care .
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