Is there a strong family history of hypertension, obesity, diabetes, or renal failure?   Has there been anyone in the family who has required dialysis or a kidney transplant?

Is there an immediate family member with a history of obstructive uropathy or urinary tract infections?

Such conditions as ureterovesical reflux may be familial.

Is there a positive family history for lupus or a rheumatic disease?

Patients with lupus often have an increased incidence of rheumatic disease in the family.

What is the family’s diet like? How physical active is the family? Does the family eat “fast food” frequently?

Patterns tend be shared by families.