60yr old female with giddiness

April 17th 2023

A 60yr old housewife came to the hospital with chief complaints of dizziness and loss of conciousness 3 episodes in the past 4 months. 

History of presenting illness  
Patient was apparently asymptomatic 4 months ago when she she suddenly loss concious and fell.There were three such episodes in the past four months. In her second episode she fell and injured her right wirst and ankle.
She complained of giddiness. She would experience giddiness when she would change positions. Such as sitting after lying in a supine position, and moving her head in an upward and downward direction. She went to a hospital in Miryalguda where she was prescribed medication for her condition. Giddiness slightly imporved, and would occur only when she would stand.
Giddiness was not associated with:
Nauea, headache, loss of vision, blurring of eyes, ringing in the ears
 No history of fever or trauma.

Menstrual History: patient had hysterectomy 30yrs ago.

Obstetrics History:
4 childern
First- male
Second- female 
Third- female
Fourth- male

Past history 
No similar complaints in last.
Hypertensive from 40yrs.
Knee replacement surgery 10yrs ago.


Personal 
Mixed diet
Good appetite
Adequate sleep
Bowel and bladder habits regular.
No known addictions

Allergies
No known allergies to food or drugs.

Drug History
Prochlorperazine 
Atenolol
(Hypertensive medication was changed 6 months ago.)

General examination
Patient was concious, coherent and cooperative, well oriented to time place and person.
Moderately built 
Moderately nourshied 
No pallor 
No icterus 
No clubbing of finger
No cyanosis 
No generalized lymphadenopathy.





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