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There was mild costovertebral angle tenderness, and a clinical diagnosis of early pyelonephritis was made. The patient had bilateral costovertebral angle tenderness and a boggy, tender, enlarged prostate. On examination, he was febrile, tachycardic, had mild scleral icterus, dry mucosa, no lymphadenopathy, clear lungs, a flow murmur, benign abdomen, normal neurologic examination, and no costovertebral angle or spine tenderness. |
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