64yr old male with obstructive uropathy

July 27, 2022

A 64 yr old male resident of chotuppal came with chief complaints of pain in the right loin, vomiting and burning micturition since one month

HOPI

Patient was apparently asymptomatic 15 yrs back.Then he developed pain in the right loin and was diagnosed with renal calculi and was operated and then 3 yrs later again he developed bilateral loin pain and was diagnosed with bilateral renal calculi and was operated with a gap of one month .

Then 3 yrs later he developed a midline swelling approx 3 cm below umbilicus and diagnosed with ventral hernia and a mesh was placed.

Then 1 yr later he developed abdominal pain and endoscopy was done and diagnosed with intestinal ulcer and was managed conservatively During this he was diagnosed with diabetes and hypertension

Then 2 yrs back he developed generalized weakness and went to hospital and was told that haemoglobin was low and was given iron injections.

Then since 1 month he developed loin pain , vomiting and burning micturition

DAILY ROUTINE

Patient wakes up around 5 am and takes breakfast at 7 and lunch around 12 pm and dinner at 8 pm and sleep around 9 pm.Rest of the time he spend with his grand children

PAST HISTORY

There were similar complaints in the past

History of diabetes and hypertension since 5 yrs

History of surgeries for renal calculi and ventral calculi