A 33 year old female presented with right lower Abdominal pain.

A 33 year old female from West Bengal come to OPD with lower abdominal pain.

CHIEF COMPLAINTS

She came with a chief complaint of pain radiating from groin to right flank region gradually increasing since 3 years.

C/O nausea and vomiting since 3months

C/O no 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

It was gradually increasing pain.

Aggravating factors : on walking, or doing heavy work 

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/diabetes

She had undergone tubectomy 5 years ago.

PERSONAL HISTORY

Patient is a home maker by occupation

married with 3 kids

Bowel movement is regular

Burning Micturition

Non alcoholic

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

BP - 110/80

GRBS - 88 mg%

SYSTEMIC EXAMINATION

 A. CVS

- No thrills

- S1 S2 positive

-no cardiac murmurs

B. RESPIRATORY SYSTEM 

- no dyspnoea 

- No wheezing

- central trachea

- vehicular breath sounds 

C. ABDOMEN

-  scaphoid shaped abdomen 

- No tenderness

- No palpable mass

- non palpable liver and spleen

C. CNS

- conscious and coherent

- normal speech

INVESTIGATIONS

1. ECG

2. USG