LONG CASE A 65yr old male patient who is a resident of nakrekal and farmer by occupation came to the OPD with the chief complaints of Urinary retention since 2 days Abdominal distention since 2 days Fever since 3 days HISTORY OF PRESENT ILLNESS: PAST HISTORY He had right sided indirect inguinal hernia for which hernioraphy was done 13 years back. He is known case hypertension since 4 years and he is on medication since 4 years No history of diabetes,asthma,tb,cad,stroke PERSONAL HISTORY married Diet:mixed Appetite:normal Sleep:adequate Bowel and bladder:urinary retention Addictions:regular alcoholic FAMILY HISTORY: family member has hypertension No history of diabetes,asthma,tb,cad,stroke. GENERAL EXAMINATION Patient is concious,coherent,cooperative,moderately built and moderately nourished VITALS: Temperature:98.7°F Pulse rate:82b/m Respiratory rate:22c/m BP:140/70mmhg Spo2:99 Grbs:134mg% Pallor: present Icterus:no Clubbing:no Cyanosis:no Lymp...
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