General Medicine Cases

 

 A 60 year old man, who works as a coolie, presented to the hospital with- • reduced micturition and defecation since 2 months. • burning sensation on micturition since 2 months. HISTORY OF PRESENT ILLNESS • Patient was apparently asymptomatic 2 month back. • The patient is a retired coolie who does nothing of significance in the day. • He wakes up at 6am, roams around his village, settles disputes, and retires for the night at around 10pm. • 2 weeks after Dusshera (2 months back), patient suffered with a dizziness spell and cough which he attributes to "cold". • Patient was taken to an ENT specialist who ruled him clear of any problem. • The very same day, the patient noticed an acute decrease in his urination and micturition. • When patient was taken to the hospital in Nakrekal where he was diagnosed with Renal failure.  • He was put on Maintainance Hemodialysis since then. • Patient recollects that after 5 days of dialysis, patient's micturition and defecation was som