40 M C/o weaknesses of 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
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