What is the most likely cause of the hematuria

Reference no: EM133383688

Assignment:

Scenario: A 50-year-old White man is complaining of left-sided flank pain that started about 3 hours ago. He describes the pain as sharp and intermittent. He notes that his urine is a bit darker, but he denies seeing blood. The pain started after he finished mowing a client's lawn (he is a gardener). He denies dysuria, urgency, or fever.

Past medical history: gout.
Medications: allopurinol 100 mg orally every day.
Allergies: no known drug allergies (NKDA).
Social history: denies smoking, alcohol use, or drug misuse.
Physical examination: temperature 98.5°F; pulse 96 beats per minute; respirations 20 per minute; blood pressure 138/88 mmHg.
General: anxious, holding left side, and moving around; otherwise, examination is unremarkable.
Urinalysis: positive for blood with 15 RBCs per HPF; remainder unremarkable

Question: What is the most likely cause of the hematuria?

Reference no: EM133383688

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