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 left lumbar region 

CNS : NFND 

Treatment: pt. Was advised to take home bp monitoring machine. 
Initially pt was advised to take Telmisartan 40 mg but his bp readings did not improve . So , we advised patient to take telmisartan 80 mg . Still his bp readings did not improved . 

So, we added amlodipine 5 mg then his bp readings were improved and we asked the patient to continue amlodipine 5mg






Readings with telamisartan 40 mg : 

On 25/11/23

On 26/11/23

Readings with telmisartan 80mg: 

On 26/11/23


On 26/11/23



Readings with amlodipine 5 mg : 

On 30/11-23

On 2/12/23 at 8:00 am

On 3/12/24 at 10:45 am 

On 3/12/23 at 6:15 pm

On 4/12/23 at 11:10 am 

Patient dietary intake : 

Afternoon : 



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