76M Urinary dribbling thin stream 1 yr pain and hematuria Diabetes 1 mth CKD 1mth Uttar Pradesh PaJR

 

29-05-2026

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED PROBLEMS  AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[9.44 am, 29/05/2026] PPM 1: First history from OPD

Gen medicine history from IP day 1

  
                                                                                                          General surgery handwritten history

                                                                Progress notes

                                      

Vitals intake output and food plates. Have planned for his four point sugar profile

                               

                                                                   Investigations
                                         

  

                                        

[12.59 pm, 29/05/2026] PPM 1: Finally we also managed to capture the image of his obstructive kidneys but looking at the obstruction perhaps his azotemia may not be explained by post renal obstructive uropathy alone rather there's some renal component too which makes this case more challenging.