All cases of red urine are not due to hematuria. Ask history of fever, dysuria, rash, joint pain etc. If asymptomatic ask history of ingestion of beetroot, food coloring agents at a party, candies etc. Look for rash, edema, hypertension, renal angle tenderness etc.
Confirm: presence of RBCs in urine with urine microscopy in a freshly voided urine specimen. Presence of >5 RBCs per HPF is significant in centrifuged specimen. Evaluate:
Wait and watch: If above evaluation is non-contributory and child is otherwise asymptomatic.
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