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1. SRINIVASAN

2. • CHIEF COMPLAINTS:68 yrs male, farmer, came with chief complaints of dysuria, poor stream
of urine since 6 months.
• History of presenting illness: Patient came with complaints of dysuria, poor stream of urine x 6
months. No H/O Hematuria/fever/burning micturition.
• S/P SPC insertion 2 months ago
•
• PAST HISTORY: Patient is not a known case of DM/SHTN/BA/TB.
• SPC insertion 2 months ago
•
• PERSONAL HISTORY: NIL SIGNIFICANT

3. • FAMILY HISTORY: Nil significant
•
• O/E: Conscious, oriented, Afebrile
•
• VITALS: BP – 120/80 mmHG, PR – 80 /min
•
• S/E: CVS – S1S2+
• RS- BAE+
• P/A – Soft, non-tender, SPC+
• CNS – NFND
• GENITALS – Meatus Normal
• No Phimosis
• B/L Testis normal
• P/R – Grade I, firm prostate

4. • INVESTIGATIONS:
• HB – 12.7,
• TC –6830,
• PLT –2.28,
• UREA – 16,
• CREATININE- 0.6
• SERUM ELECTROLYTES: Na-136 ;K-3.7 ;Cl-98 ; HCO3-18
•
• LFT- NORMAL
• URINE ROUTINE- pH 6.0, 1.025,protein ++, plenty WBCs, 6-8 RBCs
• URINE CULTURE- NO GROWTH

5. X-RAY KUB
RADIOLOGY:

6. USG KUB

7. • USG KUB:
• RIGHT KIDNEY: NORMAL IN SIZE 10.4X4.7CM
• A SUBCENTIMETRIC CYST NOTED IN LOWER POLE CORTEX
• LEFT KIDNEY 10.4X4.2CM
• BLADDER DISTENDED. BLADDER WALL THICKENED ~6MM
• PREVOID – 400CC
• POSTVOID-234C

8. UROFLOWMETRY

9. ASCENDING URETHROGRAM