HISTORY OF PRESENT ILLNESS:  ,The patient is a 50-year-old African American female with past medical history significant for hypertension and endstage renal disease, on hemodialysis secondary to endstage renal disease, last hemodialysis was on June 22, 2007. 
HISTORY OF PRESENT ILLNESS : , The patient is a 50 - year - old African American female with past medical history significant for hypertension and endstage renal disease , on hemodialysis secondary to endstage renal disease , last hemodialysis was on June 22 , 2007 .