Hematuria can have many causes, ranging from minor to serious. Urinaly
sis can usually differentiate a renal from a urologic source of bleedi
ng. Most often the cause is found to be in the lower urinary tract. In
patients with normal renal. function and no significant proteinuria,
red blood cell casts, or dysmorphic red blood cells, a urologic workup
is indicated. When hematuria is thought to be of renal origin and ass
ociated with proteinuria and hypertension, renal biopsy may help to pi
npoint the diagnosis.