Gross and Microscopic Hematuria


4.9 out of 5 (23 Reviews)



Pharmacology Credits


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Start Date

1 Sep 2023

Last Review Date

29 Feb 2024

Expiration Date

31 Aug 2026

Estimated Time To Finish

90 Minutes

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Activity Description

Hematuria, defined as the abnormal presence of blood in urine, presents in 2 primary classifications: gross and microscopic. Gross hematuria refers to visible blood in urine, while microscopic hematuria indicates red blood cell (RBC) detection through urinalysis or urine microscopy without apparent visual blood. Hematuria evaluation encompasses a broad spectrum of etiologies, with malignancy being a critical consideration, especially in patients with predisposing factors. A thorough assessment involves history-taking, physical examination, imaging, and laboratory tests. Furthermore, risk stratification based on various parameters, including age, smoking history, RBC count, and prior episodes of hematuria, is essential in guiding management. Risk-appropriate evaluations are recommended to ensure timely detection and management of underlying pathology, particularly urological malignancies. This activity for healthcare professionals is designed to enhance the learner's competence when managing gross and microscopic hematuria, equipping them with updated knowledge, skills, and strategies for timely identification, effective interventions, and improved coordination of care, leading to better patient outcomes.

Target Audience

This activity has been designed to meet the educational needs of physicians, physician associates, nurses, pharmacists, and nurse practitioners.

Learning Objectives

At the conclusion of this activity, the learner will be better able to:

  • Differentiate gross hematuria and microscopic hematuria.

  • Implement evidence-based protocols for the evaluation of patients with gross and microscopic hematuria.

  • Select optimal treatment strategies for a patient with gross and microscopic hematuria.

  • Collaborate with interprofessional healthcare teams to appropriately care for patients with hematuria.

  • Outline the pharmacologic therapy as it applies to Gross and Microscopic Hematuria


StatPearls, LLC requires everyone who influences the content of an educational activity to disclose relevant financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflict(s) of interest have been mitigated. Hover over contributor names for financial disclosures. Others involved in planning this educational activity have no relevant financial relationships to disclose.

Commercial Support: This activity has received NO commercial support.

Continuing Education Accreditation Information

In support of improving patient care, StatPearls, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.


Nurse Practitioners: StatPearls designates this activity for 1.50 ANCC contact hour(s), which includes 0.5 hour(s) of pharmacology. NPs should only claim credit commensurate with the extent of their participation in the activity.

Please consult your professional licensing board for information on the applicability and acceptance of continuing education credit for this activity.

Method of Participation and Credit

  1. Register for the activity.    
  2. Review the target audience, learning objectives, and disclosure information.
  3. Study the educational content of the enduring material.
  4. Choose the best answer to each activity test question. To receive credit and a certificate, you must pass the test questions with a minimum score of 100%.
  5. Complete the post-activity assessment survey.

If you have concerns regarding the CE/CME system, please contact


This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Faculty may discuss investigational products or off-label uses of products regulated by the FDA. Readers should verify all information before employing any therapies described in this educational activity.

The information provided for this activity is for continuing education purposes only and is not meant to substitute for the independent medical/clinical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The information presented does not necessarily reflect the views of StatPearls or any commercial supporters of educational activities on StatPearls expressly disclaims responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through a participant's misunderstanding of the content.

Unapproved Uses of Drugs/Devices: In accordance with FDA requirements, the audience is advised that information presented in this continuing education activity may contain references to unlabeled or unapproved uses of drugs or devices. Please refer to the FDA-approved package insert for each drug/device for full prescribing/utilization information.

Cancellation Policy: Please see the cancellation policy. StatPearls, LLC reserves the right to cancel any course due to unforeseen circumstances.




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