General medicine e-log
A 35 y old female came to opd With chief complaints of abdominal pain,fever,nausea HOPI: Patient was apparently asymptomatic 6 days back. Then she developed abdominal pain which was severe and went to local hospital for treatment and then she developed fever. She was a known case of renal calculus since 1 year.on CT examination increase in size of renal calculus is seen..she was then referred to our hospital Patient came to surgery department with complaints of abdominal pain since 6 days, Pain was present throughout the day,it was radiating to back on the right side and it was radiating towards thigh on the left side. Fever was present since 4 days Not associated with vomitings,loose stools. She had episodes of black coloured urine and stools on mon evening She had a platelet count of 6000 Then she had a blood transfusion. Past history: Not a known case of diabetes,asthma,TB She was diagnosed with renal calculi 1 year back . She was diagnosed with arthritis in 2017 For which