Case 35 Introduction

History of Present Illness (HPI)

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An 80-year-old male with history of asthma and hypertension presents to the emergency department with a few weeks of worsening lower extremity edema. He does not have any other symptoms including fever, chills, nausea, vomiting, chest pain, or shortness of breath.

He lives with his husband and their dog. He does does not smoke or use illicit drugs. He has 2-3 glasses of wine per week.

His only home medication is nifedipine 30 mg daily.  He does not have any personal or family history of malignancy, and he denies a family history of kidney disease.   He has not used non-steroidal anti-inflammatory drugs (NSAIDs) recently or other over the counter medications or herbal supplements.

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