SRINIVASAN STRICTUREbhbbhhhhhffffgf.pptx

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1. SRINIVASAN

2. CHIEF COMPLAINTS :68 yrs male, farmer , came with chief complaints of dysuria, poor stream of urine since 6 months. History of presenting illness : Patient came with complaints of dysuria, poor stream of urine x 6 months. No H/O Hematuria/fever/burning micturition. S/P SPC insertion 2 months ago   PAST HISTORY: Patient is not a known case of DM/SHTN/BA/TB. SPC insertion 2 months ago   PERSONAL HISTORY: NIL SIGNIFICANT

3. FAMILY HISTORY: Nil significant   O/E: Conscious, oriented, Afebrile VITALS: BP – 120/80 mmHG , PR – 80 /min   S/E: CVS – S1S2+ RS- BAE+ P/A – Soft, non-tender, SPC+ CNS – NFND GENITALS – Meatus Normal No Phimosis B/L Testis normal P/R – Grade I, firm prostate

4. INVESTIGATIONS: HB – 12.7, TC –6830, PLT –2.28, UREA – 16, CREATININE- 0.6 SERUM ELECTROLYTES: Na-136 ;K-3.7 ;Cl-98 ; HCO3-18   LFT- NORMAL URINE ROUTINE- pH 6.0, 1.025,protein ++, plenty WBCs, 6-8 RBCs URINE CULTURE- NO GROWTH

5. X-RAY KUB RADIOLOGY:

6. USG KUB

7. USG KUB: RIGHT KIDNEY: NORMAL IN SIZE 10.4X4.7CM A SUBCENTIMETRIC CYST NOTED IN LOWER POLE CORTEX LEFT KIDNEY 10.4X4.2CM BLADDER DISTENDED. BLADDER WALL THICKENED ~6MM PREVOID – 400CC POSTVOID-234C

8. UROFLOWMETRY

9. ASCENDING URETHROGRAM