28th August 2020

A 60-year-old retired painter presented to his GP with painless haematuria

A 60-year-old retired painter presented to his GP with painless haematuria. This is severe enough that he occasionally passes clots. He also describes shortness of breath on exertion. He denies any urinary tract symptoms, including dysuria or poor outflow. His observations were stable and physical examination was unremarkable. 

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.