45yr old Female with dizziness, vomiting and shortness of breath from past 2 days

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A 45 yr old female who is a daily worker belonging to nalgonda  presented to the hospital with Chief complaint of dizziness and vomiting from past 2 days associated with pain all over face from 10 days along with Shortness of breath 

 

 HOPI:

*The patient presented with dizziness which was of sudden onset and intermittent .The sensation of dizziness aggrevated during walking for long distance and heavy work  which was relieved on taking rest for 1-2hrs.

*The pain was pricking type ,continuous, and radiating all over the body and not yet relieved.

* Vomiting which is non projectile with 3-4 episodes in a day and only content water and watery in color . No such aggrevated factors. But associated with Shortness of breath which is sudden onset for 5-10 minutes and relieved by medication. 

PAST HISTORY:

The patient was asymptomatic till the day she felt dizziness and vomiting 2 days back.

-H/O DM from past 2 years

- H/O HTN from past 1 year

-She has been taking medicine for HTN and DM.

*NOTE 

-Her right kidney is failure from past 2 months

PERSONAL HISTORY:

Diet : mixed 

App : normal 

Sleep :normal

Menopause:3 months ago

Medication: daily 2 tablets (1 for HTN, 1 for DM )

Occasionally Toddy drinker which is stopped after getting DM

Non alcoholic ,non smoker 

NO allergies 

No surgery 

FAMILY HISTORY:

no significant family History 

GENERAL EXAMINATION:

PALLOR, no icterus, no cyanosis, no clubbing ,Pitting type of bilateral  EDEMA both hands and legs  , no lymphadenopathy.