INCISIONAL HERNIA

CBBLE UDHC SIMILAR CASES

INCISIONAL HERNIA.

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

February 1 2022

A 52yr old female came to casualty with pain abdomen once in 2-3 days since 1 month.

History of Presenting illness: 

patient was apparently asymptomatic 1 month back then she developed pain abdomen in left  lumbar and right hypochondrium and umbilical region once in 2-3 days,which  is incidious in onset,gradually progressive. No aggravating and relieving factors.

PAST HISTORY:  patient has H/o dysmenorrhea 14yrs back for which she was on medication and pain relieved.

H/o hypertension 13yrs ago,on tab.Telma.

H/o ovarian cyst diagnosed and operated 9yrs back.

H/o abdominal distention lyr after surgery i.e 8yrs back for which she was consulted  and advised to do physical exercises, walking. 

8yrs nack she was diagnosed with incisional hernia.

PERSONAL HISTORY:

DIET - MIXED

APPETITE -NORMAL ,

BOWEL MOVEMENT - REGULAR , 

BLADDER MOVEMENTS - REGULAR, ADDICTIONS(ALCOHOL AND SMOKING) - NO ADDICTIONS

TREATMENT HISTORY:

1.TAB.PANTOP 40MG PO/OD

2.TAB.TELMA 40MG PO/OD 

O/E:

PATIENT IS CONCIOUS , COHERENT COOPERATIVE

ICTRUS present, 

PALLOR present, 

No CLUBBING , CYANOSIS , LYMPHADENOPATHY, EDEMA

VITALS - 

TEMPERATURE - 97' F

PULSE RATE - 88BPM

BLOOD PRESSURE - 130/90 MM OF HG 

RESPIRATORY RATE - 26

SPO2 - 99 % AT ROOM AIR

SYSTEMIC EXAMINATION - 

CARDIOVASCULAR SYSTEM : S1 AND S2 HEARD , NO MURMURS

RESPIRATORY SYSTEM : BILATERAL AIR ENTRY PRESENT ,NORMAL VESICULAR BREATH SOUNDS

CENTRAL NERVOUS SYSTEM : NAD

P/A - diffuse tenderness present, no organomegaly

INVESTIGATIONS:

ECG ON 1/2/2022,8:15 PM

Discharge certificate:on 3/6/2013

Cytopathology report on 29/5/2013

Usg on 28/10/2014

Usg on 2/2/2022

CUE ON 2/2/22

Surgery referral on 2/2/22

serum creatinine on 2/2/22

Surgery referral on 3/2/2022:

L-SPINE:AP ON 3/2/22

L-SPINE LATERAL ON 3/2/22

C-SPINE LATERAL ON 3/2/22

C-SPINE AP ON 3/2/22