History of Present Illness

The history of present illness started 2 months prior to admission when

patient experienced nocturia as well as urinary frequency. There were no associated
signs and symptoms such as dysuria, urinary incontinence, fever, urgency,
suprapubic pain and low back pain. No consultations done and no medications was
taken.
One month prior to admission, persistence of symptoms was still noted.
Patient also noticed his urine to be lighter in color. There were no associated signs
and symptoms such as fever, dysuria, hematuria, urinary incontinence, urgency,
suprapubic pain and low back pain. Patient sought consultation at NKTI for his
regular check-up in which laboratories such as CBC, urinalysis, urine culture and
chest x-ray were requested. CBC and urinalysis results were unrecalled urine culture
has said to have revealed increase in bacterial load. Chest x-ray was said to have an
impression of pneumonia. Patient was advised for admission but refused.
Few hours prior to admission, still with the above symptoms present, patient
sought consultation at our institute under the service of Dr. Salandaan for second
opinion and was subsequently advised for admission.

Past Medical History

The patient is an excessive drinker since his high school days but has been
sober since he has been diagnosed with kidney failure in 2010 and at the same year
he went into hemodialysis after his kidney failure. In 2011 he was fitted with AV
fistula that he used for 2 years. In 2013 he was transplanted with a new kidney at
NKTI.

Family History
The patient has a history of heredo-familial disease as such, hypertension.
His father died of cardiac arrest and a history of hypertension and his mother died
of drowning, the patient reported no maternal history of chronic diseases. No
familial history of diabetes mellitus, thyroid, lung and liver cancer, and asthma.