38yr old male patient developing severe pain in groin area

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Chief complaints: a 38yr old male patient complained of severe pain the groin area

History of presenting illness: patient was apparantly asymptomatic 5days back and then developed severe pain in the groin region. The location of the pain is in the inguinal region which is continuous in nature and constant. The pain radiates to the back. The pain becomes intense with urination or any exertion, it is associated with mild fever , vomiting and nausea.

There is no history of abdominal distention or any hematemesis or malena. The urine output has been reduced since the pain started.

There is no history of palpitations dyspnea or chest pain with no h/o bleeding diathesis or trauma.

There is a history of burning micturition

There is no h/o fatigue ability , thyroid swelling , no h/o sleep disturbance , loss of consciousness or behavioural disturbance

Past history: there is a history of Diabetes mellitus since 2 weeks , no h/o hypertension,Tuberculosis and bronchi asthma

No h/o abdominal surgeries

Patient takes tobacco on a daily basis. Patient took covid 19 vaccination

Family history: father had diabetes mellitus

Personal history: bowel and bladder- burning micturition

Sleep- no problem

Diet- vegetarian

Addictions: tobacco chewing