Case 48: Introduction

Case Published: August 2020
Case Submitted By: Molly Fisher & Mary Dominguez

History of Present Illness (HPI)

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A 39 year-old man with a history of diabetes mellitus for the last 2 years (on oral agents only) is referred to the Emergency Department for abnormal labs.  His medical history was notable for a recent episode of shingles treated with valganciclovir.  Today, he does not have fever, chills, nausea, vomiting, chest pain, cough, abdominal pain, or extremity pain/swelling. He has not had any weight loss or recent travel.

He lives with his partner in New York City and does not have any pets. He works as a nurse. He does not use prescription or over-the-counter medication, tobacco, or illicit drugs.

He has no known history of kidney disease  His family history is remarkable for diabetes mellitus in several family members. His father recently initiated hemodialysis.

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