Case 6 Introduction

History of Present Illness (HPI)

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A 43 year old man with no known medical problems is referred to your clinic for hematuria. He says he had a urine test done by his primary care physician as part of a routine physical exam.

He describes his health as “excellent” and has no complaints. He is able to walk many blocks and climb stairs without difficulty and does not have fevers, chills, nausea, vomiting, shortness of breath, chest pain, abdominal pain, or swelling of his legs. His urine appears normal and he does not have dysuria or increased urinary frequency.

Other than a daily multivitamin, he takes no over-the-counter or prescription medications. There is no known history of kidney disease in his family. He quit smoking about one year ago, and used to smoke 1/2 pack of cigarettes per day. He occasionally drinks beer on the weekends.

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