Burning micturition
Oct 10,2022
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A 67 yr old male patient came to the causality with chief complaints of
- fever since 10 days body pains and generalized weakness since 10 days ,shortness of breath since 5 days
History of presenting illness
Patient was apparantly asymptomatic 10 days back later he developed fever associated with chills with evening of rise of temperature fever since 10 days ,body pains and generalized weakness since 10 days shortness of breath since 5 days
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History of presenting illness
Patient was apparantly asymptomatic 10 days back later he developed fever associated with chills with evening of rise of temperature /o dry cough , generalized weakness and body pains . vomiting had food particles as content which was no bilious and non projectile breathlessness since 5 days epigastric pain since 4 days abdominal pain since 2 days
PAST HISTOR he underwent Surgery for Aortic dissection.And after 10 months Underwent ESWL for kidney stones in Right Kidney. Hypertension since 15 years. H/O Diabetes;Asthma;Tuberculosis;Epilepsy.
PERSONAL HISTORY :
-He wakes up at 5:00 am Eat's mp for 3 times a day
adequate sleep
-Bowel
burning micturition ,No addictions.
FAMILY HISTORY:
No similar complaints in any one of his family members.
GENERAL EXAMINATION:
Patient is Conscious; Coherent and Cooperative and Well oriented to time;place and person.
Pallor - Abs
Icterus - positive
Clubbing - Absent
Kolinychia -Absent
Generalised Lymphadenopathy -Absent
Bilateral Pedal Edema -
Pulse Rate - 102 bpm
Blood pressure - 90/60 mm of Hg
Respiratory Rate - 26cpm
ABDOMEN EXAMINATION:
INSPECTION:
Shape of abdomen- distended
Engorged veins -Absent
PALPATION:
No rise of temperature
Epigastric tenderness
No palpable mases
No hepatomegaly
No splenomegaly
PERCUSSION:
normal liver span
ASCULTATION :
bowel sounds heard
Respiratory system;
-Shape of the chest normal, Trachea appears to be in centre ,Normal vesicular breath sounds heard
Cardiovascular system;
- S1 S2 heard No murmors
CNS EXAMINATION
-pateint is conscious ,speech normal ,no neurologic defivits
INVESTIGATION
USG
I
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