60 yr old male patient with c/o Giddiness.
Chief complaints: Patient c/o giddiness since 6days C/o headache since 6days Hopi: Patient was apparently sympatomatic 10 years back then he had stomach ache for which he was referred to our hospital. Then he was diagnosed with intestinal perforation and he was operated and discharged after 6 days. 4 years ago visited hospital in view of abdominal pain, epigastric region, non radiating, not associated with vomitings, there he was diagnosed with T2DM and was prescribed T. Gliclazide 60 mg OD 10 days ago he visited hospital for Pain abdomen epigastric region, non radiating, not associated with vomitings and was prescribed Inj.ISOPANE insulin 20-0-15 T. B-complex SYP. Antacid T. Ursodeoxycholic acid 300mg BD T. Rabeprazole 20mg + levosulpride 75 mg OD one week back then he had vomiting 3 episodes per day for 2 days, non projectilee nonbilious contains food particles as contents non foul smelling, altered sleep cycle (sleeping during day, awake at night), yellowish discoloration of eyes