Vesico Vaginal Fistula

This is an online E-blog to discuss our patient identified health data shared after taking the consent.

Here we discuss our patient problems through series of inputs available.

I have been given this case to solve in an attempt to understand the topic of Vesico Vaginal Fistula to develop my consistency in reading and comprehending clinical data including history,clinical findings, investigation and come up with diagnosis and treatment plan.

A 45 year old female with Vesico Vaginal Fistula planning for repair.

  


HISTORY OF PRESENTING ILLNESS

.6 months back hysterectomy
. Developed continuous urine leakage 15 days after the surgery from the vagina
.No dysgeusia
.No Pyrexia
.Normal voiding
.No fever chills

 
HISTORY OF PAST ILLNESS

.No TB
.No DM
.No Asthama
.No CAD
.T3 T4 INCREASED


PERSONAL HISTORY

. Married
. Appetite-normal
. Non-vegetarian
.Bowel - regular
 
SYSTEMIC EXAMINATION

. Cardiovascular System
Thrill- no
Cardiac Sounds- S1 S2

. Respiratory system
Dyspnea- No
Wheeze- No

. Abdomen
Shape- scapoid
Tenderness-not present
Free Fluid-No
Liver-not palpable

. Central Nervous System
Concious
Speech normal
Neck stiffness - no

VITALS
 
Temperature -97.5
PR -78
BP-130/90mm of hg
RR- 14BPM

FINAL DIAGNOSIS
Vesico Vaginal Fistula


INVESTIGATIONS

TREATMENT
PLAN OF CARE
. VVF repair by surgery

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