17 year old patient with pyelonephritis

CHIEF COMPLAINT:                                          17 year old female patient came with a complaint of pain in the left lower back and lumps over the left back region.
HISTORY OF PRESENT ILLNESS:               Patient was apparently asymptomatic 1 month ago,she underwent left percutaneous Nephrostomy for pyelonephritis.Patient is on CIC and bladder wash
HISTORY OF PAST ILLNESS:                           No History of diabetes mellitus,hypertension,Thyroid,Asthma epilepsy
PERSONAL HISTORY:
Appetite:Normal
Diet:Mixed
bowels and urine-regular 
sleep- adequate
No addiction
no allergies
FAMILY HISTORY:
No similar history in the family
GENERAL EXAMINATION:
Patient is conscious,coheresnt and cooperative at the time of joining
No pallor
No icterus
No lymphadenopathy
No cyanosis
No malnutrition
No dehydration
No clubbing of finger
No oedema of feet

Vitals:
Temperature-afebrile
Pulserate-78bpm
Respiration rate-16 com
BP-110/70mmHg
Spo-98percent
SYSTEMIC EXAMINATION:
*CVS
No thrills
No cardiac murmurs 
S1 and S2 are heard
*RESPIRATORY SYSTEM
BAE present
*CNS
HMF intact
Investigations:
Urea-4.3
Cr-0.9
VA-2.4
Ca+-10.0
P+-4.8
Na+-1.41
Cl-107


DIAGNOSIS:
T.Oflox 200mg/Po/BD
T.pan40mg/Po/OD
T.pcm 650mg/Po/SOS
SYP.CITRALKAB6/TID



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