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

This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians 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 problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. 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 pric...