prefinal examination paper-2

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40 M C/o weaknesses of body since 1 month

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40 yr male  Pt came to the opd with C/o weakness of the body since 1 month  Hopi : pt was apparently asymptomatic 4 yrs back then he developed headache and weakness of body . So , he went to the local doctor and was diagnosed as hypertension. But patient was not taking any medication. So, he again developed weakness of the body since 1 month .  Weakness is associated with the the dizziness and sweating .  No H/0 nausea , vomiting , burning micturition, constipation .  Past H/o : k/C/o HTN since 4yrs but not taking any medication                    N/k/C/O DM , Asthama , TB , epilepsy, cva , cad ,thyroid.  General examination: pt. Was conscious, coherent and cooperative moderately built and well nourished.  General examination; No pallor ,  icterus,cyanosis, clubbing,pedal edema , no lymphadenopathy Vitals  Temp- afebrile  PR - 90 bpm BP- 170/100mmHg RR- 16CPM Systemic examination CVS- S1,S2 heard,no murmurs RS - BLAE, NVBS   Per abdomen - Tenderness present in the epigastric region and
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