40 M C/o weaknesses of body since 1 month
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