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A 26 year old male working in an electrical shop reported to me with complaints of Dysuria and frequent urge to urinate , even though little comes for past 1 week He also reported an episode of UTI four months back which resolved on its own There were no red flags like hematuria, fever, or flank pain He had an USG which revealed cystitis and right sided neprolithiasis of 3mm, no hydronephrosis I started him on Pyridium 200mg TDS 2 days along with Nitrofurantoin 100mg BD 3 days and ordered Urine R/M, CS Though his urine result had pus cells but the urine culture sample was sterile So I started him on higher antibiotics after which he was relived in frequent urge, but his dysuria continued after 1 day of stopping pyridium I even consulted the labs to get his Urine CS done again, which again came sterile So I was perplexed and referred the case to a urologist mentioning everything and asking for a USG - PVRU and a uroflometry The doctor urologist also did a RGU which reveled a bulbar urethra stricture Is there anything I could have done which could have given me an idea about stricture like advancing a Foley's or so?? But two Urine CS sample being sterile was indicative of stricture
Dr. Ajeet Pal Singh6 Likes20 Answers - Login to View the image
A 36 years old female patient, complaining č mastagia, breast lump, erythema, pain abdo. pain at right hypochondriac region , dysuria, poor stream, intense pain in back of the stomach, blood in urine č burning mituration, dyspareuria. O/E BP 140/ 90mmHg Pulse 108 bpm R/R 16 bpm Abdo.distended B/S normal CVS s1 & s2 P Chest B/L clear
Dr. Maqusud Ansari4 Likes13 Answers - Login to View the image
A 19 yaer girl come to my clinic *Chief Complaints* burning micturition And pain *History* No past history *Vitals* Normal *Physical Examination* Normal *Investigations* Urine RM *Diagnosis* UTI *Management* Tab Cefakind 500 BD Syrup Alkasol 10ml TDS Tab Urispas TDS Cap Pantocid DSR BBF Cap Multivitamin OD Please suggest me any treatment
Dr. Azeem Shaikh1 Like12 Answers - Login to View the image
A female patient complains of abdominal pain since 1 month.Complains of Burning micturition since 1 month.Usg report enclosed. Suggest Diagnosis and Management??
Dr. Aftab Alam1 Like11 Answers - Login to View the image
58Y/M. CAME TO MY OPD WITH COMPLAINTS OF SEVERE LEFT SIDE LOIN PAIN WITH VOMITING, ,H/O -GASTRITIS, ,,NO FEVER, ,LM, ,NO BURNING IN URINE, ,TPR /BP --WNL, ,BELOW IS THE SCAN OF (A+P),,,SO DEAR CUROFIANS PLZZ GIVE UR OPINION REGARDING THIS, ,THANKS, ,REGARDS, ,DR RAJ PANDEY MISHRA
Dr. Raj Pandey Mishra3 Likes10 Answers