So when there is glomerular injury, red blood cells sneak into the urine —causing hematuria, which contributes to this being a type of nephritic syndrome.
In addition, clogging in the renal papillae can cause necrosis, which can manifest as hematuria and proteinuria - blood and protein spilling out into the urine.
Diagnosis involves a history and physical exam, as well as imaging studies like X-rays, CT scans or ultrasound, and finally urinalysis because it might show microscopic or gross hematuria or blood in the urine.