Chronic Renal Failure

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Chief Compliant: The patient is a 50 year old white male with diabetes who presents with an elevated creatinine for 2 weeks.

History of the Present Illness: Oliguria, current and baseline creatinine and BUN. Diabetes, hypertension; history of pyelonephritis, sepsis, heart failure, liver disease; peripheral edema, dark colored urine, rashes or purpura. Hypovolemia secondary to diarrhea, hemorrhage, over-diuresis; glomerulonephritis, interstitial nephritis. Excessive bleeding, flank pain, anorexia, insomnia, fatigue, malaise, weight loss, paresthesias, anemia.

Past Medical History: Past ultrasounds, kidney stones, prostate disease, urethral obstruction.

Medications: Nonsteroidal anti-inflammatory drugs, aminoglycosides, contrast dyes.

Family History: Polycystic kidney disease, hereditary glomerulonephritis.

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