Chief Compliant: The patient is a 50 year old white male with hypertension who complains of bloody urine for 4 days.
History of the Present Illness: Quantity of RBCs found on urinalysis. Repeat testing. Color, timing, pattern of hematuria: Initial hematuria (anterior urethral lesion); terminal hematuria (bladder neck or prostate lesion); hematuria throughout voiding (bladder or upper urinary tract). Frequency, dysuria, suprapubic pain, flank pain (renal colic), perineal pain; fever. Recent exercise, menstruation; bleeding between voidings.
Foley catheterization, prior stone passage, tissue passage in urine, joint pain.
Recent sore throat, streptococcal skin infection (glomerulonephritis), joint pain.
Past Medical History: Prior pyelonephritis; occupational exposure to toxins.
Medications Associated with Hematuria: Warfarin, aspirin, ibuprofen, naproxen, phenobarbital, allopurinol, phenytoin, cyclophosphamide. Causes of Red Urine: Pyridium, phenytoin, ibuprofen, cascara laxatives, levodopa, methyldopa, quinine, rifampin, berries, flava beans, food coloring, rhubarb, beets, hemoglobinuria, myoglobinuria.
Family History: Hematuria, renal disease, sickle cell, bleeding diathesis, deafness (Alport's syndrome), hypertension.
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Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...