80 year old male with fever and burning micturition
A 80 year old male patient came with the complaints of fever and chills since 8 days Decreased appetite, generalised weakness and burning micturition since 5 days HOPI: Pt was apparently asymptomatic 8 days back then he c/o fever a/w chills , intermittent without any diurnal variation No H/O vomitings or loose stools,cough,cold,SOB,rashes H/O scrotal swelling( hydrocoele) since childhood H/O difficulty in passing micturition ?BPH ?TURP done 1 year back(no records) H/O DM since 5 years on Tab.glimipiride 5mg and Tab.metformin 500mg H/O hypertension since 2 years on tab atenolol 50mg Personal history: Diet: mixed Appetite: decreased Sleep: decreased bowel movements: irregular addictions: tobacco smoking burning micturition present S: General examination: Pt is C/C/C BP: 130/80 mmHg PR: 74 bpm Temp : 98.6F GRBS : 170mg/dl Pt has icterus no pallor, cyanosis, clubbing, lymphadenopathy, pedal oedema Physical examination: CVS:S1S2 +NO MURMURS RS :BAE +, NVBS P/A- soft, NT CNS-NFD Inv