Hematuria physical examination

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Physical examination of the patient with MH should focus on the genitourinary system (e.g., flank tenderness; masses in the flank, abdomen, suprapubic area, or urethra; and enlarged, nodular, tender, or fluctuant prostate). Physical examination also may identify signs of coagulopathy (bruising), infection (fever), or renal disease (hypertension, edema). If urethral stricture or benign prostatic hyperplasia (BPH) is suspected, a urine flow rate and postvoid residual measurement may be helpful as well.