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Case 2 Presentation






                                                       • Presented with painless hematuria x 1 month


                                                              ‒ Married, 2 grown children, works as an architect
                       Mr. G is a                             ‒ Smokes a pipe daily x 30 years
                     74                                       ‒ ECOG 1








                   year-old male                       • Past Medical History:                                         Medications:
                                                              ‒ CAD with PCI (10 years ago)                                   ‒ ASA 81mg (on hold)

                                                              ‒ Dyslipidemia                                                  ‒ Simvastatin

                                                              ‒ Hypertension                                                  ‒ Metoprolol, ramipril


                                                              ‒ BPH                                                           ‒ Tamsulosin

                                                              ‒ Right inguinal hernia repair



                                                       • Family History:


                                                              ‒ Mother diagnosed with breast cancer at age 65

                                                              ‒ No bladder cancer in the family
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