Leroy W. Lee, M.D.; Edwin Davis Jr., M.D.
JAMA. 1953;153(9):782-784. doi:10.1001/jama.1953.02940260006002.
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Gross urinary hemorrhage is a common symptom usually indicating urinary tract disease. The term hematuria is most frequently used to describe the finding of blood in the urine, but unfortunately it is too often considered a diagnosis in itself. The symptom of blood in the urine is frequently passed over by patient and physician alike without much concern. In most instances the bleeding subsides spontaneously and is forgotten until another episode occurs. When a patient comes for consultation because of painless bleeding, it is often difficult for the physician to insist on a complete urologic examination. Pain is not often a concurrent symptom in the most serious urinary diseases giving rise to bleeding. If patients realized how many persons die or have long periods of hospitalization because they waited for a second or third episode of bleeding before seeking special care, they would insist on immediate and complete urologic


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