Day 46 : Right sided chest pain which lead to Renal calculi

16/11/2022 Wednesday Adarsha Hospital, Kundapura

I was sitting idle in the casuality in the morning when a patient came with c/o right sided chest pain. I went to him immediately to examine him.

The Patient was Mr. Nerambally Narayana, middle aged man k/c/o Hypertension on Rx with c/o Right sided chest pain on and off since one week. He had decreased sleep.

On Examination,

he had tenderness over right lumbar region with mild icterus. So, when I asked more about this I found out that he is chronic alcoholic with previous history of acute liver injury.

So I ordered some lab tests - CBC,RBS,LFT.RFT,ECG and CXR,USG abdomen.

Since USG had to be done outside the hospital, It got late. All his blood reports,ECG,CXR was normal. We had to wait for USG for final diagnosis.

When USG report came, it was mentioned that he had B/L Renal calculi with Ileoclotis.

And the calculi was not significantly large to get operated.

Guess what was hid final diagnosis.

Anxiety disorder with hypertension

His treatment included

1. TAB. CLOZE 0.5mg 0-0-1

2. TAB TRIPLENT 10mg 0-0-1

3. MALZIX POWDER 2tsp - 0- 2tsp

That's it and nothing else.

So that is how chest pain turned out to be Anxiety disorder with B/L renal calculi.

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Day 57 : Right toe ulcer with TAO ( Buerger's Disease)

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