Case 43: Introduction

History of Present Illness (HPI)

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A 33 year-old man without known significant past medical history presents to your clinic after being referred for hematuria. He feels well today and informs you he was told hematuria was persistent on multiple urine specimens. 

He does not have fever, rash, chest pain, cough, shortness of breath, diarrhea, constipation, or vomiting. He has not noted changes in his urine or urinary habits. He has no known personal or family history of kidney disease. He is a current smoker (1/2 pack per day for the last 2 years) and occasionally uses marijuana. He has 3-4 drinks (mostly beer) per week. He has not used intravenous drugs.

He lives with his wife and they have a dog (Harvey).

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