On going case
A 60 year old woman who is a coolie by profession and a resident of Nalgonda had come to the OPD with the following complaints -Dizziness since 2 days -Headache since 2 days History of present illness Patient was apparently asymptomatic ,she reported feeling dizzy since yesterday afternoon , she had her lunch and reported feeling dizzy on sitting and standing as well and it subsided with rest She also had headache associated with her dizziness History of past illness She had a fracture to her right leg about 10 years ago General examination The patient was conscious and conscious, coherent and co operative and was oriented to space and time - pallor : present - icterus : absent -cyanosis :absent -clubbing : absent -lymphadenopathy : absent -pedal edema : absent Vitals - BP : 130/70 - PR : 80bpm -RR: 18 Personal history -diet : mixed - appetite : no loss of appetite -bowel and bladder : normal - addictions : not known Investigations - the patient was sent for