A 54 year old patient came to casuality with incisional herina

March 20, 2022

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A 54 year old female patient, resident of adauidulpally, Nalgonda district tobacco worker by occupation came to our hospital with chief complaints of -

1. Inicisional hernia

2. Swelling in right side of abdomin

3. Hernioplasty

Date of admission :- 15/03/2022

History of present illness:-

Patient was apparently asymptomatic 5 days back , then she noticed a swelling in the hypogastrum extending to right side iliac fossa(10×15 cms) which was reducible on lying on and protruding out on raised intra

abdominal pressure

Tendreness present

Cough present

No H/o of vomitings, loose stools,No H/o of constipation, No H/o chronic cough present, No H/o of trauma

History of past illness:-

H/o of hysteroctomy then due perforation of uterus due to pyometry two years ago

H/o of hypothyroid (was on medication)

Not a known case of diabetes, hypertension, tb, epilepsy, asthma

Personal history:-

Patient has normal eating habit with mixed diet.

Occasional alchohol consumption and no smoking.

Daily routine:-

Patient used to wake up at 7.00AM , takes breakfast at 9.00AM .Then she goes to her work and takes rice in between 4.00PM-5.00PM and dinner at 8.00PM and goes to bed by 9.00PM.

Family history:-

No significant family history.

General examination:-

Patient is conscious, coherent, cooperative and well oriented to time, place and person.

Pallor present

No icterus

No clubbing

No lymphadenopathy

Vitals:-

Temperature-98 F

Pulse rate- 86 bpm

RR-16 /min