A 9 year old male who is a school going student came with C/O left loin pain since 2 months, intermittent episodes of pain abdomen (about 2-3days of pain per week).
C/o decreased urine output, with dribbling of urine, thin & poor stream, with post void residue + (not relieved completely).
C/o fever, moderate grade, intermittent, about 1 ep in a week.
H/o nausea +, Decreased appetite+.
Patient was apparently asymptomatic 6 years, 3 months back then the patient's attenders started noticing increased abdominal girth and distended abdomen when the patient was just 3 years old i.e, approximately around Jan/Feb/March - 2018. The child was born on 25/02/2015. He appeared healthy at birth.
