202307801
Case History and Clinical Findings C/O 1 EPISODE OF LOC ON 18/2/23 AFTERNOON AROUND 12 PM HOPI: PT WAS APPARENTLY NORMAL UNTIL AFTERNOON (18/2/23) THEN HE SUDDENLY HAD 1 EPISODE OF LOSS OF CONSCIOUSNESS FOR PERIOD OF 2 MINUTES AND THEN REGAINED CONCIOUSNESS. NO H/O NAUSEA,VOMITINGS,HEADACHE,TRAUMA,ENT BLEED, DIMMING OF VISION. NO H/O CONFUSION,SEIZURES,CHEST PAIN,SOB NO H/O INVOLUNTARY BOWEL AND BLADDER PASSAGE,TONGUE BITE PAST HISTORY: K/C/O TYPE 2 DM SINCE 20 YEARS (ON T.GLIMI M1 PO/OD) K/C/O HYPERTENSION SINCE 20 YEARS(ON T.MET-XL 50 MG PO/OD AND T.TELMA 40 MG PO/OD) PT.SON GIVES H/O STOPPING MEDICATION FOR AROUND 20-30 DAYS 2 YEARS BACK K/C/O CKD SINCE 2 YEARS ON CONSERVATIVE MANAGEMENT N/K/C/O CAD,CVA,TB,EPILEPSY,ASTHMA,THYROID DISORDERS ON EXAMINATION: PT IS C/C/C TEMP:97 F PR:74 BPM BP:170/100 MM HG RR-18 CPM RS: BAE + NORMAL VESICULAR BREATH SOUNDS. CREPTS HEARD IN RIGHT IAA CVS: S1S2+,NO MURMURS P/A: SO