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Reginald Rice
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45 year old male
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PC
Fresh blood in urine
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HPC
Fresh blood in urine this morning
Pain in side, from back to his groin
Getting worse, the worst of his life
Coming and going
Took an ibuprofen but that hasn’t helped
Sweating
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PMH
High blood pressure
Metal screw in left arm after fracture at building site 5 years ago
Ruptured meniscus 2 years ago playing football. Had ‘keyhole surgery’ (arthroscopy)
DX
Hydrochlorothiazide
Family Hx
Family are well
Grandfather had coeliac disease
Mother has Hashimotos (underactive thyroid disease)
Social Hx
Builder
Smokes 10 per day
Drinks 2 beers per night
Lives with wife and 2 young childeren
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