Urethra Stricture

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   THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT .HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT 

40 year old female WITH 

 urethra stricture under evaluation

CASE HISTORY

A 40 year old female , house wife ,CAME from west bengal WITH 

CHEIF COMPLAINTS OF -

dysuria decreased frequency of urination post void urinary retention and slow urine stream since 6 months

burning micturition since 5 months

dysperunia since 4 months

loin and lower back pain since 1 month


HISTORY OF PRESENTING ILLNESS -


  patient was apparently asymptomatic 6 month back then developed dysuria which was insidious in onset gradually progressive associated with burning micturation retention of urine and lower abdomen pain and distension the pain in abdomen gets relieved with medication and voiding urine 

burning micturition not associated with any fever cough nausea vomiting patient developed dysperunia 4 months back and pain in the flanks and lower back 1 month back 

 no SIGNIFICANT PAST HISTORY , AND THEN CAME TO KIMS FOR FURTHER EVALUATION 

PAST HISTORY - 

n/k/c/o htn 

6 months back was given medication for dm metformine 500 mg for 4 months later stoped on doctor assuring glucose levels in control and no dm

NOT A KNOWN CASE OF EPILEPSY , ASTHMA , TB


No previous surgical history apart from lscs for 2 childs 21 year back and 19 year back


PERSONAL HISTORY :

DIET - MIXED ,APPETITE -normal appetite ,BOWEL MOVEMENT - REGULAR , BLADDER MOVEMENTS - irREGULAR , ADDICTIONS(no ALCOHOL AND SMOKING) - but consumes pan and bettle nut 5 times a day


FAMILY HISTORY - 


Not significant

ON EXAMINATION -


PATIENT IS CONCIOUS , orientation to time place person


mild PALLOR, no ICTERUS , CLUBBING , CYANOSIS , LYMPHADENOPATHY , EDEMA)


VITALS - 


TEMPERATURE - AFEBRILE

PULSE RATE - 79BPM

BLOOD PRESSURE - 100 /80 MM OF HG 

RESPIRATORY RATE - 12

SPO2 - 99% AT ROOM AIR


SYSTEMIC EXAMINATION - 


CARDIOVASCULAR SYSTEM : S1 AND S2 HEARD , NO MURMURS


RESPIRATORY SYSTEM : BILATERAL AIR ENTRY PRESENT ,NORMAL VESICULAR BREATH SOUNDS


CENTRAL NERVOUS SYSTEM : 

normal

P/a on inspection distended and tender on palpation dull note on percussion


obs history

 age of menarche  16 years

 age of marriage 18 years

 1st became Gravid  at 19 years age pregnancy aborted at 5 months product of consumption removed in medical facility 

 2 nd pregnancy at 20 years still birth at 8 months of gestation 

3 Rd pregnancy   child delivered by lscs live child age 20 years male

 4 th pregnancy  delivered by lscs present   age 18 years male

menstruation cycles 30/5 cycles  

lmp - 5 /1/22


INVESTIGATION - 










































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