75 years male patient with bipedal edema and swelling in left ingunoscrotal region
Patient was apparently alright 1 year back when he developed swelling in the left ingual region which was intially small in size thn grew to its current size.
It intially used to reduce on lying down and increases on working
History of present illness: swelling was associated with pain which was of dragging type which developed three days before.He isn't able to reduce the swelling since three days.No complaints of constipation,no complaints of vomiting,no complaints of burning micturition and loose stools.
History of past illness:he is complaing of edema which is bilateral associated with morning puffiness
No surgical history
No history of HTN/DM/ASTHMA/EPILEPSY
Personal history:
Sleep: adequate
Diet:mixed diet
Bowel: constipation
Micturition: normal
Addictions:alcoholic ,smoking
Family history:no history of similar complaints in the family
Treatment history:no history of drug allergies
On general physical examination: patient was conscious coherent and cooperative
No pallor
No cyanosis
No lymphadenopathy
Vitals:
Temperature: Afebrile
Respiratory rate:15/min
Pulse rate:80/min
Bp:160/90
GRBS:140mg
Systemic examination:
Cardiovascular system:
No murmurs
No thrills
S1 s2 sounds heard
Respiratory system
No dyspnea
No wheeze
Position of trachea-central
Abdomen:
Shape of abdomen-obese
No tenderness
No palpABle mass
Irreducible indirect lingual hernia
CNS system:
Conscious
Speech normal
Reflex normal
Provisional diagnosis: irreducible indirect incomplete inguinal hernia
Investigations:
Comments
Post a Comment