Pain in abdomen with fever since 7 days

Pain in abdomen with fever since 7 days

Name : Suresh

Age/Sex : 40 yrs/M

Add : Muzaffarnagar, U.P

Occupation: Carpenter

Marital Status : Married since 18 yrs

Date Of Admission :19.08.11

PRESENTING COMPLAINTS

Pain in abdomen with fever since 7days

HISTORY OF PRESENTING COMPLAINT

Patient was apparently well 7 days back when he suddenly developed fever  in night and same morning he developed pricking type of  pain in right lumbar region n hypogastrium.

< lying on opposite side,night ,before and during micturition

>After micturition, pressure on opposite side

Fever: temp.101 deg F with severe chills which persisted for 4-5 hours aqnd heat stage for 2-3 hours  and no sweat stage. During all stages the thirst was increased n there was desire for luke warm water.

<evening till midnight

Past History: No history of any major illness

Family History: nothing significant

Personal history: Addiction :nil,diet: non veg,nothing significant

Physical Generals

Thermal Reaction: chilly

Appetite: normal

Thirst : 3 L/day,increased during fever for luke warm water

Stool: D1 N0,not satisfactory

Urine:D5-6, N5-6,burning before urination n patients screams during micturition,difficulty in beginning of urination

Sleep: disturbed due to pain

Desires: sweet

Aversion:pumpkin

Perspiration-very scanty

Mental Generals

General Physical Examination

Built:ectomorphic

Nutrition: poor

Pallor: present

Jaundice,cyanosis,clubbing,oedema: not present

Pigmentation: N

B.P.: 110/70 mm of Hg

Pulse: 82/min

Temp: 101 deg F

Tongue: furrowed and yellow coated

Systemic  Examination: tenderness in hypogastrium and right lumbar region

Rest :NAD

Investigation  done

Hb:12gm/dl, TLC:6700,DLC: P58 L38 E2 M2,ESR:56

Urine:protein :1+,WBC:50-80, Epithelial cells: 7-10, other cells: 0-1

Usg(16/8/11) :right renal cyst,sized  21 x 16.1mm

Usg KUB.Prostrate(20/8/11):NAD

Treatment

19-20 Aug: Cantharis 30/Qid,Chimaphilla Q/TDS

21/8: Bell 30/1dose stat,mag phos 6X

22/8:Bryonia 200/3doses/stat

23-28/8: Berb.vulgaris 30/Qid,Chimaphila Q and on 27^th Bell 30/3 doses stat at 11 pm

• admin |
• December 4, 2021