History of presenting illness
Patient complains of red urine for the last 3 months without having any abdominal cramps. He states that his urine stream appears dark throughout micturition until the end of voiding.
He also noticed small clots in his urine.
He also stated that he quickly feels tired after any minimal physical effort as well as he lost significant weight in the past 3 months.
Absent findings
No fever, No edema, No flank pain, No abdominal pain , No diarrhea, No constipation, No alcohol consumption, No jaundice, No abdominal tenderness, No pain while voiding, No bleeding from other sites, No ejaculation abnormalities.
Past medical & surgical history
Chronic back pain
he currently smokes a pack of cigarettes daily since 30 years.