A 42 YEAR OLD PATIENT WITH PALPITATIONS,SOB AND HEADACHE
42 year old male patient came with the c/o -palpitations since morning - difficulty in breathing since morning -Headache since morning -Frothy urine 15-20 days ago (not present now) HISTORY OF PRESENTING ILLNESS- Pt was apparently alright till morning when he had c/o palpitations a/w SOB grade II. He also had complaints of headache which is diffuse a/w nausea not a/w lacrimation/photophobia/phenophobia. 15 days back he had c/o frothy urine which was intermittent , resolved now. No c/o chest pain/ orthopnea/syncopal attacks. No c/o pain abdomen, loose stools, fever, constipation,burning micturition, vomitings. No c/o tingling/ paresthesis/ involuntary movements . No c/o neck pain, giddiness . PAST HISTORY- H/o similar complaints in the past along with chest pain , pain abdomen and malena 1 year back ,diagnosed with uncontrolled hypertension and AKI on CKD and was given medication which he used for 3 months and then stopped ADDICTIONS - Alcohol:since 20 yrs 2/3 times per week
