A 40 year old male patient, farmer by occupation, presented with complaints of abdominal pain on and off for the past 20 days, increased for the past 2 days over the left lumbar region, colicky pain, non-radiating, associated with burning micturition, no complaints of nausea, vomiting, constipation, loose stools, fever, loss of weight, loss of appetite, shortness of breath, cough with expectoration or chest pain. No co-morbidities, no history of smoking or alcoholism. 1 Systemic Examination Rs-bilateral normal vesicular breath sounds, no added sounds, CVS-S1S2 heard, no murmurs, per abdomen-mild lumbar tenderness present over the left side, CNS-no focal neurological deficit.
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