Case Published: December 2018

History of Present Illness (HPI)

A 39 year old man presents to the outpatient nephrology clinic after he was noted to have microscopic hematuria at a routine screening.

He says he’s feeling well today and has no complaints – no headache, fever, nausea, vomiting, chest pain, shortness of breath, abdominal pain, diarrhea, extremity edema, rash, numbness, tingling, hearing loss.  He takes a multivitamin daily and exercises multiple times a week. He notes that he drinks a lot of water as he feels thirsty often and also reports frequent urination.

He tells you his father is a kidney transplant recipient and recently passed away in a motor vehicle accident. He does not know what his father’s kidney disease was. He does not drink alcohol, use tobacco, or illicit drugs.

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