uro-health clinic filedr. divakar dalela mbbs, ms (surgery), mch (urology), fics (urology), fams...

Uro-Health Clinic2/503, Ground floor, Vikas Nagar, Lucknow-226 022

OPD CASE FILE MALE

Name Age

Phone

Address

Reg.No. Date Rcpt. No.

Qksu % 0522-2739099, 2739499, 3207964, eks- % 9235401984

Dr. Divakar DalelaMBBS, MS (Surgery),MCh (Urology), FICS (Urology), FAMS (Urology)

Consultant Uro Surgeon

Professor & Former HeadDept. of Urology, KG Medical University, Lucknow

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Qksu % 0522-2739099] 2739499] 3207964eksc- % 9235401984

E-mail : [email protected]

Name : Age/Sex :

Uro-Health Clinic

Co-morbidities

Main Diagnosis

Histopathalogy

Dates of Operations/Procedures

Prof. D. Dalela, MS, MChReferred by :

With acknowledgments

Aforesaid information is not valid for medical-legal purposes.

Drug AllergiesName of Drug Type of Allergies

Previous Medication

Name & Dose of Drug Taking Since Prescribed by

Prof. D. Dalela, MS, MCh


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Clinical HistoryLower Urinary Tract Symptoms

Thin Stream

Slow Stream

Hesitancy

Terminal Dribble

Incomplete voiding

Urinary retention

Previous Cathet.

Diurnal Freq.

Nocturia

Urgency

Urge Incont.

Dysuria

Urinary Burning

Bed wetting

Upper Urinary Tract Symptoms

Flank Lump

Oliguria/anuria

Graveluria

Flank Pain

Fever

Oedema

PME

ED

Infertility

Post eja. burning

Urethral discharge

Haemospermia

Haematuria

Pyuria

Chyluria

Constipation

Frequent Stools

Backache

Sexual Symptoms

Misc. Symptoms



Previous Illnesses/Hospitalization

Addictions Family History

Clinical Examination

Abdomen

Pulse :

Edema :

BP :

Weight :

DRE

Anal tone/sensations

Prostate tenderness

Prostate Nodule

Prostate Size


Genitalia

Prepuce

Glans

Meatus

Shaft

Scrotum

Initial Plan


Investigations ChartBlood Group HBsAg HCV HIV


B. Sgr. P

Date

Hb

TLC

DLC

B. Sgr. F

B. Sgr. R

Creatinine

Uric Acid

Na

K


Date

PT

APTT

BT/CT

S Calcium

S PO4

S PTH

Bilirubin

Alk Phos

SGPT

Total Pro t.

Albumin

S.TSH

S. T3/T4

SGOT

PSA

IVPUSG

Date UT Pros./Ut. PVRU



CYSTOSCOPY

URODYNAMICS

Date%

Left Kidney Right Kidney

Drainage % Drainage

RENAL SCAN

RGU/MCU

CT/MRI

UROFLOW

Date Volume PFR AFR Time


Date Organism Main Sensitivity

Date Pus Cell RBC,s Albumin Chy/Trig

Cardio Respiratory Work up


Urinalysis

Urine C/S

Urologic DiagnosisProf. D. Dalela, MS, MCh

Up

per

Tra

ct

Sta

tus


Lo

wer

& G

en

ital Tra

ct

Sta

tus


Progress & Treatment Prof. D. Dalela, MS, MCh

Clinical Progress

Plan

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Clinical Progress

Plan

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Visit Record

Date S.No. Rcpt. No. Signature

uro-health clinic filedr. divakar dalela mbbs, ms (surgery), mch (urology), fics (urology), fams...

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