A Man With Elevated Serum Creatinine, History of Gout

A 40-year-old man presented for evaluation from his primary care doctor with an elevated serum creatinine level. Of note, his grandmother died from kidney failure, and his father suffered from kidney failure and underwent a kidney transplant at age 50 years. No family members suffer from gout. The patient's only medication is a multivitamin. Physical examination reveals a BP of ...