60 YEAR OLD MAN WITH HYPERTENSIVE URGENCY.

60 year old man presented to the casualty with complaints of 

dizziness lasting for 2 mins at 11 am 

blurring of vision for 2 mins at 11 am

Patient works as a farmer at a local village, He presented with the complaints of  giddiness lasting for 2 min along with blurring of vision.  

He has no complaints of chest pain, palpitations,sweating,vomiting,headache, no complaints of ringing sensation in his ears, ear discharge .

History  ? insect bite 2 years back  for which he received treatment for one day .

 History dog bite 15 days back for which he received injections for 3 days.

VITALS -

PR - 78bpm

BP - 200/110mmhg

SPO2- 99%

RR - 17 cpm

Afebrile to touch 

GRBS - 178mg/dl

CVS - S1,S2+

R/S - BAE+ , clear

P/A - soft , non tender 

We got his fundoscopy done which showed normal fundus study.

ECG-

Hemogram-

CUE-

LFT-

 RFT -   

Dx-  HYPERTENSIVE URGENCY. 

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