Concluded Case

PELVIC RETENTION CYST NEPHROLITHIASIS

A 43 years old female patient complaining, č pain abdo. & nausea with vomiting, burning sensation during mituration, HTN & NIDDM. Pain at left iliac region and sometimes pain in left breast. NOTE➡️ Patient complaining haematuria too. O/E BP 160/90 mmHg Pulse 110bpm Chest B/L clear Abdo. distended CVS S1 & S2 P RBS 378 mg/ dl

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Concluded answer
Patient of diabetic ketoacidosis with pelvic retention cyst with rt nephrolithiasis She requires renal function test and ketones. Blood sugar to be controlled and lithotripsy to be carried out. Urine culture and sensitivity tobe done Retention cyst do not carry that importance
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Patient of diabetic ketoacidosis with pelvic retention cyst with rt nephrolithiasis She requires renal function test and ketones. Blood sugar to be controlled and lithotripsy to be carried out. Urine culture and sensitivity tobe done Retention cyst do not carry that importance
Thanks Dr. Sheetal jadhav
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Right nephrolithasis Retention cyst bladder Ad Surgery for both
Thank you so much respected dr. Pushkar sir
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Perimenopausal women with history of hysterectomy complains of pain abdomen with vomiting and USG finding rt kidney stone with pelvic retension cyst . Pt is uncontrol diabetic and hypertensive . Pt having haematuria and burning sensation which may be due stone kidney and super added UTI due to uncontrol diabetes Pain breast is common in this age group as there is homonal disbalance More over pt has pelvic retention cyst. Pelvic retention cyst may be ovarian and non ovarian and as USG report shows both ovaries could not be visualised , it can be taken as salphingo oophorectomy done during hysterectomy.So ovarian cause of pelvic retention cyst does not come into picture. The pelvic retention cyst non ovarian is generally is pelvic peritoneal inclusion cyst which is nothing but the cyst like appearance comes in the peritoneal surface due to proliferation of mesothelial tissue generally benign in nature and found with those women in perimenopausal stage with history of previous abdominal or pelvic surgery. There may be many causes of pelvic retension causes like mucocele of appendix, hydro and pyosalphynx etc.Usually present with pain abdomen and vomiting. Treatment tight control of diabetes and hypertension Conservative treatment for pain abdomen. Some time USG giuded ( Transvaginal ) aspiration and followed by inj of scerosing agent. In extreme cases surgical excision may be required.
Thank you so much dr. Mirnal sir
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AGE OF THE PATIENT IS 43 YEARS.... PATIENT IS HAVING RENAL CALCULUS ON RIGHT SIDE ABOUT SAY 6 MM. SHE HAD UNDERGONE HYSTERECTOMY AS WELL BUT ONE CYSTIC SWELLING IS THERE. WHICH NEEDS HISTOLOGICAL INVESTIGATION..... BURNING URINE IS ATTRIBUTABLE TO DIABETES AND ASSOCIATED URINARY TRACT INFECTION AS RBS IS 378MG/DL.PAIN IN LEFT ILLIAC REGION AND BREAST MAY BE DUE TO CYST OR HORMONAL EFFECT...... NAUSEA AND VOMITING MAY BE DUE TO RENAL CALCULUS..... OR DIABETIC KETOACIDOSIS OR IF VOMITING IS PROJECTILE TYPE THEN IT'S DUE TO HYPERTENSION..... SO DRUG HISTORY OF THE PATIENT IS VERY IMPORTANT..... WHETHER SHE IS ON ANTIDIABETIC DRUGS OR ON ANY ALKALIZER LIKE DISODIUM HYDROGEN CITRATE..... OR ANY ANTIBIOTICS LIKE NORFLOXACIN..... SO RFT AND LFT MUST BE DONE..... TO RULE OUT ANY DIABETIC COMPLICATIONS... FOR DIABETES GO WITH ANTIDIABETIC. CYST SHOULD BE REMOVED SURGICALLY...... AND RIGHT SIDED RENAL STONE SHOLD ALSO BE OPERATED UPON.......
Thank you so much respected dr. Rajesh Gopal sir
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Pt is uncontrolled diabetic Presenting with nephrolithiasis with uti probably one of calculus is down the track giving hematuria and burning of urine Lt iliac pain abdomen is due to retention ovarian cyst Needs control of diabetes stepup the doses or review the plan Add antibiotics like nitofurontoin for uti Oral fluids sos hydrotherapy for renal calculus with rest of conservative line Retention ovarian cyst should response to increase doses of metformin otherwise need surgical intervention
Thanx dr Pushkar ji Bhomia
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UNCONTROLLED DIABETES.... RT.NEPHROLETHIASIS PELVIC RETENTION CYST CBC,ESR, HBA1C, LIPID PROFILE,TFT,RENAL FUNCTION TEST,CT ABDOMEN.... MANAGE WITH ANTIDIABETIC ANTIEMETIC ANTISPASMODIC POTASSIUM CITRATE NITROFURANTOIN SUFFICIENT WATER CONSUMPTION.....IF NOT RELIVED SYMPTOMATICALLY REFER FOR SURGICAL INTERVENTION...
Thanks Dr. Vipin Bihari Jain
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Patient is suffering from hypertension, diabetes,nephrolithias advice to admit the patient ,control the DM ,HTN, and advice to under gb o litholatripsy
Thank you doctor
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May be pelvic cyst due to endometriosis or infection cyst Need further evaluation
Thank you dr. Nisha mem
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Retention cyst. UTI Suggest. Surgery

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