Hematuria in 17yo female | Figure 1

Hematuria in 17yo female

17 year old, female patient presents to urgent care with frank hematuria that started a few hours ago. She had unprotected sex yesterday with a long time boyfriend. Period ended 3 days ago. She has suprapubic discomfort along with feeling like she has to urinate after emptying her bladder.

In-house urinalysis was positive for blood (250 ery/ul), protein (500 mg/dl), nitrates, and leukocytes (500 leu/ul). Other readings include/ UBG 4mg/dl, BIL 2mg/dl, and pH 5.

How would you handle this in the urgent care or primary care setting?

Update 1

Urine culture had no growth. Negative for gonorrhea, chlamydia, and trichomonas.

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