30 year male admited through emergency in a severe metabolic
acidosis state and drowsy.
He had outside s.creatine of 15mg/dl, and xray showing
homogenous opacity involving right
Apex of lung. There was recent history of taking ATT, which
he soon gave up after using few
Days as he became more nauseated and had vomiting too. There
was an aditional history of
Difficulty in passing urine since many years, and also
required once catheterization suprapubically.
We got him inserted Double lumen cather and dialysed , later
on Ultrasound kidneys and bladder
Showed markly dillated PC system leaving no cortex bilatteraly
and thick wall , mild trabeculated
Bladder.
We concluded that he would be having stricture urethra by
his tory which was substaciated with
The fact when he was
tried to pass cather but failed to proceed and subsequently suprabubic cathe
Erization done as he was in retention of urine.
Regarding his homogenous opacity in lung we would work him
up for tuberculosis by Blood CP, ESR
Mauntox test, Sputum AFB or moring gastric lavage for AFB or
BAL. Urine Dr and C/s.
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