40 year old female with flank pain, burning micturition, recurrent fever associated with chills

September 27, 2022

Hello, I am Harika Madala, a 3rd sem medical student.
This is an online e-log book to discuss our patient's health data shared after taking her/his/guardian's consent. This also reflects patient centred care and online learning portfolio.

Chief complaints 

A 40 year old female, housewife, resident of Hyderabad presented to the OPD with chief complaints of 
Pain in abdomen since 15 days
Burning micturition since 5-6 days
Fever associated with chills since 15 days
Frothy urine since 20 days
Pedal edema since 8-9 months 
Vomitings since 15 days

History of Present illness 

The patient was apparently asymptomatic 15 days back. Then she developed pain abdomen radiating from umbilicus to left lumbar region. She had vomitings& fever associated with chills. After 10 days patient had developed burning micturition and frothy urine.

Past history 

Diabetic since 10 years on medication 
Hypothyroidism since 8 years on medication 
Hypertension since 11 years on medication 
No CAD
No Asthma
No Epilepsy 
No TB

Personal history 

Normal appetite 
Adequate sleep 
Mixed diet
Constipation since 2-3 days
Burning micturition

Family history 

Not significant 

Drug history 

Not significant 

Allergies 

No known allergies 

Addictions 

No addictions 


General examination 

The patient is conscious, coherent, cooperative and well oriented 
Pallor- Yes
No icterus 
No cyanosis 
No clubbing of fingers 
No lymphadenopathy 
Pedal edema- Yes(pitting type)

Vital signs 

Temperature- Afebrile
Pulse rate- 84 beats/min
Respiration rate- 16 cycles/min
Blood Pressure- 100/80 mm Hg
SPO2- 92%

Investigations 





Popular posts from this blog

40year old male with pain abdomen

40 yr old male with pain abdomen July 30, 2023 CHEIF COMPLAINTS C/O pain Abdomen since 4 days  History of Present Illness Patient was apparently asymptomatic 4days back then developed pain in the left hypochondriac region which is radiating to the right hypochondriac region  C/O vomiting since 4days, 3 episodes watery in consistency ,non-blood stained, non foul smelling No C/O fever, decreased urine output, loose stools H/O Burning micturition since 4days  C/O SOB, palpitations, orthopnea PAST HISTORY No H/O similar complaints in the past  Not a k/c/o HTN,DM,Asthma,Epilepsy,CAD TREATMENT HISTORY Not significant  PERSONAL HISTORY Diet - Mixed Appetite - Normal Sleep - Normal Bowel and Bladder movements-Regular Allergies - None Addictions-Alcohol addiction since 10 years last consumption was 2 days ago FAMILY HISTORY No history of similar complaints in the family GENERAL EXAMINATION The patient is conscious,coherent and cooperative; well oriented to time,place and...
Read more

75 year old female with altered sensorium

Image
A 75 year old female with altered sensorium July 19, 2023 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome CHIEF COMPLAINTS:  A 75yr old female resident of Podichedu , daily labour by occupation came to OPD with chief complaints of Drowsiness and giddiness since 3days HOPI: patient was apparently asymptomatic 3days , then she started feeling drowsy and sleepy. She took 2 tablets of ranitidine at 2pm. She is drowsy but arousable. No h/o altered behaviour, agitation, irrelevant talk, screaming. No h/o fever,neck stiffness H/o toddy consumptio...
Read more