60 year old female with urinary retention

March 9,2022
This is online E-blog, to discuss our patient de-identified health data shared after taking her guardian's signed informed consent.



Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve the patients clinical problem with current best evidence based input.

I have been a case in order to make my skills better in understanding the "Patient's clinical data analysis". Making a note of all the necessary information like the history of patient's present illness, his medical history, his family history, diagnosis and treatment plan. 

A 60 year old female came to the casuality with urinary retention. 

History of present illness:
    The patient was asymptomatic 15 days back. She had fever 15 days back with chills and profuse sweating. Since 5 days she was suffering from urine retention. 
She visited the local hospital after she had fever. 

History of past illness:
  No chest pain
  No diabetes
  No asthma
 
Personal history:
  She was a daily wage labor but she stoped working. She takes alcohol on occasions. 
Appetite: normal
Diet: mixed
Bowels: regular
Menstrual cycle: menopause

Family history: not significant

Vitals:
Temperature : 98.3°
Pulse: 100/70 per min
Respiratory rate : 22/ min
GRBS: 112 mg%

Investigations:
8-03-2022
Blood urea:100
Serum creaticreatinenine: 2.2
09-03-2022
Blood urea: 64
Serum creatinine: 1.8
Diagnosis: Acute urinary retention. 

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