ABSTRACT
A 63-year-old man has visited his GP with progressive swelling of his legs over a period of a month. He has also noticed that his urine is more frothy than usual. He does not complain of cough, shortness of breath or chest pains. There is no loss of weight or fever. He has no significant medical history. He drinks wine on occasion, does not smoke and is not on any medications. He is a retired painter and decorator.
