A 33year old female with pain in groin

33 year old female,  resident of west bengal came to hospital with 

CHIEF COMPLAINTS
Pain radiating from groin to right flank region gradually increasing since 3 years.
C/O nausea and vomiting since 3months
No complaints of fever 

HISTORY OF PRESENT ILLNESS 
Patient is apparently asymptomatic 3 years ago.
Then she developed pain in the right groin region which radiated to right flank region
Pain was gradually increasing.
Pain aggrevates while walking or while lifting heavy weights and has dull pain during rest.
It severely increased 3 months ago.
She also complaints of nausea and vomiting since 3 months which relieved on medication.
She complaints of burning micturition since 5 days.
C/O dysuria
No white discharge

HISTORY OF PAST ILLNESS 
No HTN or DM
No CAD or Asthma
She had undergone tubectomy 5 years ago.

PERSONAL HISTORY
Housewife 
Married
Normal appetite
Adequate sleep
Bowel movement is regular
Burning Micturition
Non alcoholic
Non smoker 
No drug allergies
No known allergies

FAMILY HISTORY 
No significant family history 

PHYSICAL EXAMINATION 

A. GENERAL EXAMINATION

Well built
Well nourished
No pallor
No icterus
No cyanosis
No pedal oedema
No clubbing of fingers
No lymphadenopathy
Mild dehydration

B. VITALS

Temperature - Febrile
Pulse - 92 bpm
Respiratory rate - 17 /min
BP - 110/80
GRBS - 88 mg%

SYSTEMIC EXAMINATION

 A. CVS
- No thrills
- S1 S2 +
-no cardiac murmurs

B. RESPIRATORY SYSTEM 
 no dyspnea 
No wheezing
central trachea
vesicular breath sounds 

C. ABDOMEN
 Scaphoid shaped abdomen 
 No tenderness
No palpable mass
Non palpable liver and spleen
 
D .CNS
 Patient was conscious and coherent
Normal speech 

INVESTIGATIONS
 
 
TREATMENT 
1. Clingen vaginal pessary 
2.Tab. ULTRACET 500mg PO/OD
 
PROVISIONAL DIAGNOSIS
Renal calculi


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