teach me each and every opd case of urology mentioned in this book teach every case case just like patient came in opd and i have to write prescription sample aslo given in image form write medicine in englisg but dose frequency in urdu and also add prevention if need any
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All 15 prescriptions are ready. Here is the complete teaching guide:
🏥 Urology OPD Cases - Complete Teaching Guide
Based on Viva Practice for the FRCS(Urol) - Manit Arya & Iqbal Shergill
All 15 prescription images are generated in the exact format from your sample image (orange background, white card, medicine table, Urdu frequency, prevention section). Download each one below:
📋 All 15 Prescription Images (Download Links)
| # | Case | Download |
|---|---|---|
| 1 | Benign Prostatic Hyperplasia (BPH) | Case 01 Benign Prostatic Hyperplasia BPH Image · PNG |
| 2 | Urinary Tract Infection (UTI) | Case 02 Urinary Tract Infection UTI Image · PNG |
| 3 | Renal Colic / Ureteric Stone | Case 03 Renal Colic Ureteric Stone Image · PNG |
| 4 | Haematuria (Painless Blood in Urine) | Case 04 Haematuria Painless Blood in Urine Image · PNG |
| 5 | Epididymo-Orchitis | Case 05 Epididymo Orchitis Image · PNG |
| 6 | Prostate Cancer (Localised) | Case 06 Prostate Cancer Localised Image · PNG |
| 7 | Bladder Cancer TCC - Post-TURBT | Case 07 Bladder Cancer TCC Post TURBT Image · PNG |
| 8 | Stress Urinary Incontinence (Female) | Case 08 Stress Urinary Incontinence Female Image · PNG |
| 9 | Erectile Dysfunction (ED) | Case 09 Erectile Dysfunction ED Image · PNG |
| 10 | Overactive Bladder (OAB) | Case 10 Overactive Bladder OAB Image · PNG |
| 11 | Varicocele + Male Infertility | Case 11 Varicocele + Male Infertility Image · PNG |
| 12 | PUJ Obstruction / Hydronephrosis | Case 12 PUJ Obstruction Hydronephrosis Image · PNG |
| 13 | Testicular Germ Cell Tumour | Case 13 Testicular Germ Cell Tumour Image · PNG |
| 14 | Acute Urinary Retention (AUR) | Case 14 Acute Urinary Retention AUR Image · PNG |
| 15 | Chronic Prostatitis / CPPS | Case 15 Chronic Prostatitis CPPS Image · PNG |
📚 Quick Reference - All Cases Summary
Here is what each prescription image contains, in OPD teaching style:
Case 1 - BPH (Benign Prostatic Hyperplasia)
Patient comes in saying: "Doctor saab, raat ko 4-5 baar uthna parta hai peshab ke liye, dhaar kamzor hai, ruka ruka aata hai" (65 year old male)
- Medicines: Tamsulosin 0.4mg (alpha-blocker - relaxes bladder neck) + Finasteride 5mg (5-alpha reductase inhibitor - shrinks prostate) + Solifenacin 5mg (if urgency/OAB component)
- Frequencies in Urdu: رات کو سونے سے پہلے / روزانہ ایک بار
- Key prevention: PSA every 6 months, avoid caffeine, fluid restriction after evening
Case 2 - Urinary Tract Infection (UTI)
Patient comes in saying: "Doctor, peshab mein jalan hai, baar baar aata hai, pet mein dard hai" (35 year old female - 3 days history)
- Medicines: Nitrofurantoin 100mg (first-line uncomplicated UTI) + Phenazopyridine (urinary analgesic - turns urine orange, warn patient!) + Ibuprofen SOS
- Key prevention: Drink 2-3L water, void after intercourse, wipe front to back
Case 3 - Renal Colic / Ureteric Stone
Patient comes in saying: "Doctor, kamr mein bhayanak dard hai jo neeche tak jata hai, ultiyaan ho rahi hain, khoon bhi aa raha hai" (40 year old male - sudden onset)
- Medicines: Diclofenac 75mg (NSAID - first-line for renal colic) + Tamsulosin 0.4mg (MET - Medical Expulsive Therapy for stones <10mm) + Metoclopramide (nausea) + Ciprofloxacin (if infected)
- Key point: 6mm stone - good chance of spontaneous passage with MET. Stones >10mm need ESWL/URS
Case 4 - Haematuria (Painless)
Patient comes in saying: "Doctor, mera peshab laal ho gaya hai, dard bilkul nahi hai" (58 year old male, smoker)
- URGENT: Painless macroscopic haematuria = BLADDER CANCER until proven otherwise - refer for 2-week-wait cystoscopy + CT Urogram
- Medicines: Tranexamic acid (haemostasis) + Ciprofloxacin + Omeprazole
- Most important prevention: STOP SMOKING
Case 5 - Epididymo-Orchitis
Patient comes in saying: "Doctor, dana khud phool gaya hai, lal aur dardnaak hai, peshab mein bhi jalan hai" (28 year old male, sexually active)
- Medicines: Doxycycline 100mg x14 days (covers Chlamydia) + Single dose IM Ceftriaxone (covers Gonorrhoea) - MUST treat partner
- Rule out testicular torsion first (6-hour surgical emergency - will not have gradual onset)
Case 6 - Prostate Cancer
Patient comes in saying: "Routine check par PSA 12 aa gaya, biopsy mein cancer nikla" (68 year old male, Gleason 7)
- Medicines: Bicalutamide (anti-androgen) + Leuprolide IM monthly (LHRH agonist - medical castration) + Tamsulosin (LUTS) + Calcium/Vit D3 (bone protection from ADT)
- Options: Active surveillance / Radical prostatectomy / Radiotherapy - MDT decision
Case 7 - Bladder Cancer (Post-TURBT)
Patient comes in saying: "TURBT ke baad hain, cystoscopy mein tumour tha" (62 year old male, smoker)
- Medicines: BCG intravesical x6 weeks (immunotherapy - reduces recurrence) + Oxybutynin (bladder spasm from BCG) + Phenazopyridine (dysuria)
- Surveillance: Cystoscopy every 3 months x2 years, then every 6 months
Case 8 - Stress Urinary Incontinence
Patient comes in saying: "Doctor, hansne ya khansi karte waqt peshab nikal jaata hai" (48 year old female, 3 deliveries)
- Medicines: Duloxetine 40mg (SNRI - improves sphincter tone) + Oestrogen cream (local atrophic changes)
- MOST IMPORTANT: Pelvic floor (Kegel) exercises - first-line before any medication or surgery (TVT/TOT if conservative fails)
Case 9 - Erectile Dysfunction
Patient comes in saying: "Doctor, aik saal se masla hai, tension bhi hai, shakar aur BP bhi hai" (52 year old male, DM+HTN)
- Medicines: Sildenafil 50mg PRN (PDE5 inhibitor - taken 1 hour before, not with nitrates!) + Metformin continued + Testosterone if deficient
- Key counselling: Check other meds (beta-blockers, antidepressants cause ED), lifestyle modification is cornerstone
Case 10 - Overactive Bladder (OAB)
Patient comes in saying: "Doctor, bahut jaldi aati hai aur ruk nahi pata, raat ko bhi uthna parta hai" (55 year old female, culture negative)
- Medicines: Solifenacin 5mg (anticholinergic - first choice) OR Mirabegron 50mg (beta-3 agonist - if anticholinergic SE, safer in elderly/glaucoma)
- Bladder retraining is equally important - delay voiding by 5 minutes per week
Case 11 - Varicocele
Patient comes in saying: "Left side dard rehta hai, khara hone par zyada hota hai, 2 saal se bacha nahi hua" (24 year old male, oligospermia)
- Medicines: NSAIDs (pain) + Antioxidants (Vit E, Folic acid, CoQ10 - improve sperm quality)
- Definitive: Varicocelectomy (subinguinal microsurgical) - improves natural conception rates
- Describe as: "Bag of worms" on palpation, Grade I-III
Case 12 - PUJ Obstruction / Hydronephrosis
Patient comes in saying: "Zyada pani peene ke baad kamr mein dard hota hai" (32 year old male, US shows hydronephrosis)
- Medicines: Diclofenac (pain) + Trimethoprim prophylaxis (prevent UTI while obstructed)
- Definitive: Laparoscopic pyeloplasty (Anderson-Hynes dismembered pyeloplasty) - gold standard
- MAG3 renogram: Essential to quantify differential renal function
Case 13 - Testicular Cancer
Patient comes in saying: "Ek ganth hai dana mein, dard nahi hai lekin sakht hai" (26 year old male, AFP raised)
- URGENT: Urgent radical orchidectomy via inguinal approach (NEVER scrotal - risk of lymphatic spread change)
- Medicines: Sperm banking BEFORE surgery (fertility preservation) + Ondansetron (for chemo nausea)
- Staging: AFP, HCG, LDH + CT chest/abdomen/pelvis
Case 14 - Acute Urinary Retention
Patient comes in saying: "10 ghante se peshab band hai, taqleef ho rahi hai" (70 year old male, known BPH)
- Immediate: Catheterise (Foley) - drain slowly (max 500ml at a time to prevent haematuria)
- Medicines: Tamsulosin (start immediately before TWOC) + Finasteride + Trimethoprim (catheter prophylaxis) + Paracetamol
- TWOC: Trial Without Catheter at 3 days with alpha-blocker. If fails twice - TURP
Case 15 - Chronic Prostatitis / CPPS
Patient comes in saying: "3 mahine se perineum mein dard hai, ejaculation mein bhi dard hai, culture negative aaya hai" (38 year old male)
- NIH Category IIIB (non-inflammatory CPPS) - most common and most difficult to treat
- Medicines: Ciprofloxacin (empiric 4 weeks) + Tamsulosin (alpha-blocker for voiding) + Ibuprofen + Amitriptyline 10mg at night (neuropathic pain modulation)
- Multi-modal approach: Physiotherapy + psychological support + lifestyle modification
📝 Prescription Format Notes
Each image follows your sample format:
- Medicine names: CAPITAL LETTERS in English (generic names per guidelines)
- Dose & frequency: Dose in English, Frequency/Tarteeb written in Urdu
- Duration: In English
- Prevention section: احتیاطی تدابیر with Urdu + English explanations
- Format: Orange background, white card, professional clinic header, Rx symbol
teach me more opd cases of urology from frcs urology above given book make notes or book of opd cases which include only diagnosis and medicine dose frequency and prevention in urdu make short book of first 25 important opd cases of urology
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✅ Your Urology OPD Book is ready — download it here:
Urology OPD 25 Cases Book
PDF Document · PDF
📖 What's Inside — 27-Page PDF Book
Structure: Cover Page → Table of Contents → 25 Case Pages (one per page)
Each case page contains:
| Section | Language |
|---|---|
| Case title | English + Urdu |
| Diagnosis with clinical details | English + Urdu |
| Medicine name | CAPITAL LETTERS in English |
| Dose | English |
| Frequency / ترتیب | Urdu (proper RTL Naskh font) |
| Duration | Urdu |
| احتیاطی تدابیر / Prevention | Urdu + English translation |
📋 All 25 Cases Covered
| # | Case |
|---|---|
| 1 | Benign Prostatic Hyperplasia (BPH) |
| 2 | Acute UTI / Cystitis |
| 3 | Ureteric Colic / Kidney Stone |
| 4 | Painless Macroscopic Haematuria |
| 5 | Epididymo-Orchitis (STI) |
| 6 | Localised Prostate Cancer |
| 7 | Bladder Cancer TCC - Post-TURBT |
| 8 | Female Stress Urinary Incontinence |
| 9 | Erectile Dysfunction |
| 10 | Overactive Bladder (OAB) |
| 11 | Varicocele + Male Infertility |
| 12 | PUJ Obstruction / Hydronephrosis |
| 13 | Testicular Germ Cell Tumour |
| 14 | Acute Urinary Retention (AUR) |
| 15 | Chronic Prostatitis / CPPS |
| 16 | Recurrent UTI in Women |
| 17 | Urethral Stricture |
| 18 | Chronic Scrotal Pain / Orchialgia |
| 19 | Interstitial Cystitis / Bladder Pain Syndrome |
| 20 | Phimosis / BXO (Lichen Sclerosus) |
| 21 | Nocturia / Nocturnal Polyuria |
| 22 | Hydrocele |
| 23 | Renal Cell Carcinoma (Incidental) |
| 24 | Ischaemic Priapism (Emergency) |
| 25 | Acute Bacterial Prostatitis |
Note: Urdu frequency and prevention text uses the Noto Naskh Arabic font with proper RTL shaping so it renders correctly in any PDF viewer.
give me pdf of 50 urology opd cases also include above given 25 cases every diagnose medicincine frequency dose and prevention should be in urdu .... write good title for book also mention made it by dr naveed ul hassan pgr urology make good and eyecatching book ... should be in both pdf and docx file
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