A 68-Year-Old Man with Urinary Incontinence

AbstractMorning Report is a time-honored tradition where physicians-in-training present cases to their colleagues and clinical experts to collaboratively examine an interesting patient presentation. The Morning Report section seeks to carry on this tradition by presenting a patient's chief concern and story, inviting the reader to develop a differential diagnosis and discover the diagnosis alongside the authors of the case. This report examines the story of a 68-year-old man with a history of end-stage renal disease who presented with urinary incontinence following a kidney transplant. Through a structured clinical approach, including targeted history-taking, physical examination, and diagnostic testing, an illness script is constructed, and the differential diagnosis is refined. As the clinical course progresses, additional investigations provide key insights, leading to the final diagnosis.