How do you evaluate exercise induced hematuria that persists after one week of cessation of exercise?

Exercise-induced hematuria typically resolves within a week. If the hematuria persists after one week of cessation of exercise, further work-up of the hematuria is warranted. First, hematuria should be confirmed by excluding myoglobinuria and march hemoglobinuria. If hematuria is confirmed, then one should determine if the hematuria is glomerular (dysmorphic RBCs, RBC casts, and proteinuria) vs non-glomerular (non-dysmorphic RBCs and absence of significant proteinuria). If the hematuria is glome...