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Showing posts from March, 2022

55 year male with Giddiness and Lethargy

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This is an online E log book to discuss our patients De identified health data shared after taking his /her guardian's signed informed consent.Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs. Complaints 55 year male painter by occupation came with chief complaints of  Giddiness since 2 days Lethargy since 1 day Patient was apparently asymptomatic two days back then at 9:00am patient had sudden episode of giddiness while urinating in the bathroom,he fell on his knees ,no loc,no involuntary movements of UL/LL. HOPI : Taken to outside hospital found out to be having bp 250/120 mmHg Antihypertensive were given from one day patients Lethargy decreased, responsiveness brought to our hospital for further evaluation. On presentation to casuality Bp 180/120mmHg ,170/110 mmHg, 160/70 mmHg, 150/80 mmHg. Past histor