64yr old male with renal calculi

July 27/7/2022

A 64 yr old male ,resident of chotuppal came with chief complaints of pain in the right loin, vomiting and burning micturition since one month

HOPI

Patient was apparently asymptomatic 15 yrs back.Then he developed pain in the right loin and was diagnosed with renal calculi(bladder) and was operated and then 3 yrs later again he developed bilateral loin pain and was diagnosed with bilateral renal calculi (ureters) and was operated with a gap of one month.

Then 3 yrs later he developed a midline swelling approx 3 cm below umbilicus and diagnosed with abdominal hernia and a mesh was placed.

Then 1 yr later he developed abdominal pain and endoscopy was done and diagnosed with ulcer and was managed conservatively During this he was diagnosed with diabetes and hypertension

Then 2 yrs back he developed generalized weakness and went to hospital and was told that haemoglobin (6 g/dl)was low and was given iron injections.For which he went to Hyderabad orange hospitals and because of financial crisis he came to KIMS Narketpally

Then since 1 month he developed right loin pain , vomiting and burning micturition with decreased urine output.

DAILY ROUTINE:

Patient wakes up at 5 am and takes breakfast at 7 and lunch around 12pm and dinner at 8pm and rest of the time spends time with grandchildren. His daily routine is not disturbed even after having illness.

PAST HISTORY

There were similar complaints in the past

PERSONAL HISTORY

Diet :mixed

Appetite :decreased

Sleep :adequate

Bowel regular bladder decreased flow and burning micturition

Addictions: occasionally alcohol

FAMILY HISTORY: No significant family history

DRUG HISTORY :No history of drug allergy.

GENERAL EXAMINATION

Patient was conscious coherent and cooperative