smal pacusi 4 visu Or partment, Hunig? Jt bb a aba oint inthe boy jentName__— a pot ib dang eh P a3 Snguinal teenia abe: oak "PE nome Hernia ooh equine) ong. 2 C]e gn Be Sndiveck hernia % ~ Levy du poraistac processus vagrals Ene = More prow Fd Shrangulation,

ital dy noe! eg ed ae ie pave . Bovellig 9% Rodorunal puns «des 7 | - In Old age. rae eohenlian iste + fo any Ho aie Aucy Dyy 9 |e 2S cm above md inguscal pai ~ve hlo = — cough He es Bowel Loboit - Cavustipab— 1Shatncy 1. Ssurced Bladde habit > Prodhhic ; Uiddinal shies Abdowival loupe 4 Skim + Suiocutenwus, dee aS SS ‘fant muh, > Sit, er pense x Omen A tronnenslis, Peitteriuin + Sndead Student Signature Rous Resident Signature edCase No Date. Time. Sex/Age Blood Group Case C Tas OF —old > “pieect * PE nome (agi , ser, oe, Ro, ng cle ~ Seodlting Iw Atlu angie ace — Pon ae Onpuinal oy jo ian + Koel madly back , cdhen Ae robe a ec in RE] Lt is gin Seagion obile Staining borin 4 gradual "bic euank 4 Progiessive + Ok cans a @mall roellig egrstodal AL Qo in monldow backs and now Jor seached HU. Soro to praguet sire ; ogi ou aur [landing [cSugh | cially h ae non suducibl. fay initi oo 000 0 aaa” duels oud e Mi | bon Seducing crane se) rn + Ass T Pains NEES ee core oe nfo any daellirg on thn side ae pies hilo fai ~ 8,96 Ch [el ag fling) [= Mss T “enki [joe | | Abd dhskanc Alo complications covstipahon \ oeghuchon * Soaeduabiliy, = : din t adhusions bles omordwe. /62c ] } Gowdig 4 contento% Subeatinal bshuckion ~ iareducibls eras , lun do odlurions Bevert Colicky abd. Pain + Vorniteg + Abd. disteaion — part + Obskipatten [not abl to paw Flahues % pacers | Went 3. Strenaplatin r Sur to Compression OF veins — Eduna > Ree iy Serveducibl. + Sroxanse te Ciae + Suddes deren wes pasa [Hse & tendec] “H/o prucipitating factor = Chronte [bronchits | Astioma [te | ascites - BPH - obstr. Urinan Ayneptoms. Spite gdm } moped 1 ped - Ufo Wane Te. - Apa fr - Cluonic Costipahien. | Srratnng at gtols - hobital. | Left cae = Wabight Ufhieg Pork Hie ‘ sh]o OM am [Cad for —— ys + WO Asthma | bronchitis [TO. > Any UJo Svilar seodlleg in dhe Same or Oppeatte side. * Prev. H/o Appel kclay /eses Suge {Scr ft) tlle ie () ___ Student Signature Resident Signatureyartment________CaseNo.__ Date. Time ies ‘Sex/Age. Blood Group. Counts a Reoccurmce 4 tunta. = {tle air onde eiioe + Wourd infection ou Lunia ~ nied oat Sac or ib pak © Prepipitaheg factors — scites [ Coupt-] Cevsipation . Fomily He : H/o OM] Mf Aste | 78 - ‘ nfo Cownective sau disc . —bhaeed- | ‘age oe — weuksun o Slape (Qphy eve» Grioksp) [Outs Allingy te ony dug. irae i [. O% — ayn old male , manad laborer, pussies & suducible | cooling je RE inguinal veaglon fo past —— eal uel ape at io & oad Ne Ufo Pam & Ooo babi | 8° Wo. ppt fackor % No Wo euggpative 4 olosbuction oY shranglation : Facbabty it w unconplecaked burn , Rt sided encomp ale ; pndsrect Ack ) aleecoel/ messin bumia passer uncomplicated[DJB] a) Gum Sang a pest henia, [Femoral buvnto Saphina voris Evaviasy “| log Eaphenys Vein, “Shands kgs m= : Sag LN - * clogualls node" th, en * Psoox abses - pote geod ucibhe sacllig “Coat {atess) * forored + Vited * Enlarged Ps = im OSeoamttacihs 3 cas bursa “oualg van fin dp. . Bypeae 3 : Unduscended ® Eckopi deatis . Ce Li + Abdomen = 1 Inspection, Muses of femme tarrscs -O) eae -* Poms > Devgan, eng Oxuimye~ + Movers Ey) " Smgusinn ci aah aT scl a . lit, Onquinal fornia, Falpobtos Encuhed Pudrocel, of ql cord + Goundi © Voxteocole * Oroan + Lumph Vvorix a pom & + Touro 7 | Lymplongiedass ilosmuayts ee of 4? Mul + Funicuihs “ tre, Ie walng- y. = * Lipoma ef dle cord . Sn}lammalory Fckanieg o) the rd 516 , eal a epi Malipant ead ter testis Feo fla nol SH + » Ectopk / eat (E tennis). [me 5 heud. Student Signature [== ff RiaatisconrCN oe ee Sex/Age Blood Group Locoh enon + Bysleic Zxaminckion : assis aa alder corel A eg CVS RS Siow te S » Abdomen Examinakten a Podowes —— On Sordlirg Patho. Snspection nee et ites 8 sal i nape : ups hedect ‘ : = Dinas < Pee es! re ne flag alee + Movemmd i oll qoalbrout c a @ Red: maurdy tee * An + Mcnial ab ile [ uanbtical lea | Sse [vented torn _f Falpotton — Pesitonits \ cee [ Rap of Shavlik heute ag : Tel RoSeuan. mrundan (poor [gad © Mohgaignas b 4 Oval uly. aoe, crud seo tLe guna ee leg salty cr head Sosy $ Absolult Sndreshe- for tenia plosty.. Ags t Diet FarniaPT Lncal Examination © Eran olen te well Ub Sui ‘roindaing Ae php, ct T informed conduct row te pt. , Ld wil iy oo Pb expoad frown rip! ge ame * Full exanninadious _ be in [Seg Poste], Cpaa pabion Snr pecttor. shoal comme oe re fn “Site | asi wh "Bre Com - dived) Direct) 72 Gemaral) > flask, * Shope C py tse ~pifom] Ur eed “eee Swiace ~ smevite rr aT ipa or | tals voelt! ci ul “4 impulae 4 expansible Pi gens hres Slain ever dhe Suoelli (1m Uleae | Scar * falpahen. y eel resis) tnt Dy visible. Pecishalats ve Tt Cea (BL Pxawinali) | ~ Position 4 ii - Auiato. | Ounied raids te say ~ Uretlucd meatus | Phimosic ~ Testa deen Supardaly fe Soelliy or not , es ~ pte Sena oe gay Ste i Fi : lee ; + Ber lee “shevoluntary coud Cod Gianrds f nae 2 Nebmlos coudachan of Rds mal do O¥6d pain Case No Date Tine Sex /Age_ Blood Group, Local coat Tendow over dle dwelli Gite | Sktend | fatohel. to pubs. tubercle (ice «ses [made Sabor) peal Kevin : (Pj | ett bt) oc -seufoce fee Solt elaatic. |ougey @ qranulon’ | Tear & od 7 sloty C nee | war oat : expansile sat dant of Vosohuom [suposed aig pinve Gob Gehatwe dle worellng (e hydioceet J aid eas + Palpatien 4 epermadre cove. ae am ierelyoads ca be palpalid edepastlly fom vel gad ee Stricture) Lift He Saat & feel for bulbar et oa + Teak fe Reducibi ly ( 9n_supiee pe ntttal. difficult ob suduce late. easily > Sni tial endy fy seduce Latin dificalt 2 Omentun— : Fingee Qnvogination tut Supeatictal ing) i chal "a Ye ‘4 dive. backward canal. Breck > directly Ti oe Candied 4 | backenans & (aloo! MH She of pli Fp drt Tip ~ Sndirect F20 ee AG sq bam one (dived + Sndirect bea fai, ve 7 : eames a Sn BS SSE ne ote + Zieman's teat 7 -ndex fa” fol _ Dive Bf rt pal Madde? A? Ma + Rang = ioe ay & rages g duce ine + Porcussions ae ls ae eal pal ploy + Resonant 2° Oe ae eden es = Dol a coon) ; » Ausculdahom > Peuistalle Bowel sound + > Exkrocoek + Bowel Sud O Omudoroels Strane Lunia te com A Rucdoh Emarniakion — Pf ee pe 4 Abd. muuaelr A> RAL sides ‘ ° Sree |Femared > Srveck | Sadtveck » Reduct, | Srreduut 5 on Srcomplute 2 Cold ss uk 4 aoe acon fell [Wrcowylicaled, ra Hgts. an did SuduGbl weangleh oe ak press Ma hh “lta ong Hatond opi Se ‘Student Signatureent___________ Case No. Date. Time. lame Sex/Age Blood Group. Muna > it is clinteal A 3p net pak —9 Us (anagemeet ! Seagers, vueaniop (ashy Lichlenslen Hensler ut aah Heunto plasty