A 54 year old patient came to casuality with incisional herina

This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's 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 patient's clinical problems with collective current best evidence based inputs.

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
BP-110/70 mmhg
SPO2-98% at room air
RBS-108 mg/dl

 T3,T4,TSH
 RBS
ECG
 LFT
 CBP
 RFT
 Ultra sound 
 Colour doppler 2d echo
Investigations:-
T3,T4,TSH
RBS
LFT
CBP
ECG
RFT
Serum electrolytes
Serum creatinine
Blood urea
Ultra sound scan of abdomen
Colour doppler 2D echo

Provisional diagnosis:-

  Incisional hernia 

Treatment-

T. PAN 40 mg  PO/OD

T. MVT  PO/OD 

T. OROFERXT  PO/BD 

T. VIT-C 500Mg PO/OD

SYP ACSORYC 2 Spoons TID

Surgery Suggested 



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