Md Karamath Ali

A 70 year old Female labourer by occupation came with chief complaints of - Decreased urine output since 20days - Burning micturition since 20 days - Urgency and hesitency of micturition since 20 days - Mass per abdomen since 15 days HISTORY OF PRESENT ILLNESSES   The patient was apparently asymptomatic 20 days back ,then she noticed a decrease in her urine output , burning micturition,urgency and hesitency of micturition. She denies H/o fever, loin pain, hematuria. PAST HISTORY Not a k/c/o T2DM,HTN,asthma , epilepsy,TB  PERSONAL HISTORY Diet - mixed Appetite - normal Sleep- adequate Bowel movements- normal GENERAL PHYSICAL EXAMINATION Pt is conscious, coherent, cooperative,   Vitals- Temp- afebrile  Bp-90/50 mm hg Pr- 86 bpm Rr-20 cpm Spo2- 98% on RA Systemic examination RS- Bilateral Airway entry present, nvbs Cvs -S1 S2 Heard P/A - distended,tenderness + a hard mass of size 12x8 cm palpable in the suprapubic region. Cns- nad X RAY ERECT ABDOMEN ECG ULTRASOUND ABDOMEN DIAGNOSIS UROSE

This is an online E logbook 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 a series of inputs from an available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based inputs A 60 year old male patient driver by occupation came to  causality with the chief complaints of  - Pedal oedema since 15 days.   - Shortness of breath since 5 days.    - Fever since 5 days.  - Decreased urine output since 3 days .                                                                                                        HISTORY OF PRESENT ILLNESS ; He was asymptomatic 15 days back after which developed oedema in his lower limb which is extended up to ankle which is pitting type - Fever which is continuous associated with cough and vomiting  since 5days. - Vomiting of one episode which