A 28-year-old female patient presented with a history of burning micturition persisting for 3-4 months and recurring severe left-sided abdominal pain for the past month. Initially managed conservatively elsewhere, she was admitted due to the persistence of pain. The patient has a medical history of hypertension and diabetes mellitus and is currently on medication. Upon clinical examination, she exhibited a GCS score of 15/15, consciousness and coherent. Her vital signs were stable. Thyroid function tests returned within the normal range. The patient was diagnosed with a non-functioning grossly hydronephrotic left kidney following necessary investigations due to PUJO (pelviureteric junction obstruction). Postoperatively, the patient displayed good oral tolerance from postoperative day 1, and the drain was removed on Day 4. The patient's condition remained stable, leading to her discharge with prescribed medications, including Tab Faronem 200 mg BID for 5 days after meals, Tab Dolo 650 mg TID for 3 days, Tab Pan 40 mg OD for 7 days before meals, Tab Ultracet as needed for pain, and Syp Cremaffin 20 ml at night for 10 days. She was advised to follow a soft diet, and a follow-up appointment with histopathology reports was scheduled for 1 week.

  • #ent
  • #gynaecology - ivf
  • #orthopaedics

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