A 65 years old male patient with cystitis

July 10,2022
Hi iam himabindhu, 3rd semester student .this is an online elog book to discuss our patient health data after taking his concent.this also reflect my patient centered online learning portfolio. 
Chief complaint:
A 65 years old male patient with pedal odema, osteoarthritis and constipation , complaining of burning urination,decreased urine output,pedal odema,pain during bowel movements since one week and he is also complaining of lower abdominal pain,lower back pain radiating to groin,tingling sensation and difficulty in walking.
HOPI:
The patient was apparently asymptomatic 1 year ago ,he felt pain in the lower back for which he consulted near by rmp 8 months back and taken medicine but there was no relief 13 days back he went to a camp conducted in his village.they advised him to admit in hospita .after he admitted he was diagnosed with osteoarthritis, for his burning micturition he was examined and diagnosed as cystitis,burning sensation was decreased with medicine and now he is complianing of severe lower  back pain. noticed swelling in the lower limb which is insidious in onset,gradually progressive,extending towards knee ,associated with tingling sensation.pain in lower back is aggravated on walking or working ,relieves on rest.he is having constipation since 2 months.stool sample was collected. 
Past history:
no past history of surgeries and accidents. 
Personal history:
Poor Appetite 
Inadequate diet
Irregular bowel
Adequate sleep 
Occasional chronic alcoholic, cigarette smoking 
Allergies:
no allergies 
Family history:
no family history
General examination:
Conscious and coherent 
Cooperative
No pallor
No icterus
No cyanosis
No lymphadenopathy
Pedal edema is present 
Vital sings:
Pulse-70bmp
BP-110/70mmhg
Palpation:
Local rise of temperature 
Tenderness is present 
Afibrile
Can feel the urinary bladder on Palpation 
Drug history:

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