GM CASE 2

CASE Scenario.....

Hi ,I am M.Sindhupriya 3rd bds student.This is an online elog book to discuss our patient health data after taking his consent. This also reflects my patient centered online learning portfolio 

                  CASE HISTORY
Patient details:
A 50 years old male Resident of chityala presented with
Chief complaints:
*Back pain
*Decreased urine output
*Constipation since 10 days .
History of present illness:
*Patient was apparently asymptomatic 10 days ago and he started suffering with back pain on lower side and the pain was dull. *there was decrease in urine output with burning micturition since 1 week.
* Patient had constipation since 1 week.
History of past illness:
*He was diagnosed with Hiatus hernia and had undergone surgery .
* Diabetes mellitus  since 12 years and is under medication.
*Hypertension  since 12 years and is under medication.
Personal history:
Diet :mixed
Apatite: decreased
Bowl: irregular
Sleep: adequate
Alcohol consumption: occasionally
Family history:
No similar complaints.
General examination:
Pallor:no
Icterus:no
Cyanosis:no
Lymphadenopathy: no
Gangrene:no
Malnutrition:no
Vitals:
Afebrile
Pulse rate:92/min
Blood pressure:160/100 mm/hg
Respiratory rate: 16/ min
Provisional diagnosis:
Renal caliculi
Treatment:
Clinical investigations:
Questions:
1.Is decrease in urine output a sign of kidney failure?
2.What happens if urine output is low?
3. Is there any chance of urinary tract infections.?

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