Problem: A 68-year-old male presented to the clinic with complaints of a persistent dry cough for the past two months and frequent urination for the past four months. His past medical history is significant for hypertension, diagnosed five years ago, and currently managed with 120 mg of valsartan daily. He has a notable social history, including smoking half a pack of cigarettes daily for the last 40 years. The patient was adopted and is unaware of his family medical history. This presentation raises concerns for potential pulmonary and urological conditions, likely influenced by his extensive smoking history and advancing age. peer responses