Case 2 – Hematuria

You are seeing Mr. Ali, a 72 year old male, in your outpatient clinic today for ‘bloody urine.’ Take a focused history of his complaint.


  • Onset and duration of hematuria
  • Progression or worsening of hematuria
  • Clarifies color of urine (bright red blood)
  • Urinary frequency
  • Pain on urination
  • Urgency
  • Nocturia
  • Incomplete voiding
  • Hesitancy
  • Penile tip pain
  • Flank Pain
  • Abdominal discomfort/fullness
  • Systemic Symptoms – weight loss, fever, night sweats
  • Personal history of bleeding diathesis
  • Personal history of renal stones
  • Past history of renal disease
  • Current medications
  • Surgical history
  • Smoking history (quantity in pack-years)
  • Occupational history – especially exposure to exogenous toxins
  • Concerns as to what is causing the hematuria
  • Past history of urinary tract infections
  • Family history of urogenital cancers
Case 2 – Hematuria