58/M , welder by occupation, hailing from miriyalguda , came with chief complaints of giddiness since 3 days . h/o present illness he was apparently asymptomatic 3 days back when he developed giddiness which is gradual in onset, rotational, episodic, lasting for 30 sec to 1 min, more on getting up from the bed or turning towards the right side, resolved spontaneously., increasing in frequency since 3 days , as he took leave from working and preferred to take more rest . not associated with syncope,headache,hearing loss, nausea,vomiting, chest pain, blurring of vision,neck pain, sweating, palpitations,weakness of limbs, swallowing difficulty, past history: no similar complaints in the past no history of diabetes , hypertension,cerebrovascular disease, coronary artery disease. Personal history: Drug history: intermittent use of pantoprazole 40 mg for symptoms of belching ,bloating sensation especially after alcohol Addictions: alcohol - whiskey 90 ml once or ...
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