A 70F-sweating,giddyness,shivering,nausea
C/o- sweating,nausea,vomitings,giddyness,shivering,in the mornings and pain in epigastrium HOPI -patient was apparently asynptomatic 15days ago.then ∆ she started sweating especially in the mornings also complained about ∆ giddyness since 15 days ∆ shivering since 15 days ∆ nausea since 15 days Past history- she had sezuires 2yrs ago (1episode)later she developed hypertension.no history of thyroid,epilepsy,CAD,CVD. Past medical history- she is on medication(telmisartan&metoprolol succinate tablets) for past 2 yrs Past surgical history- no significant surgical history Family history- no significant family history Personal history- appetite was normal,sleep is adequate,bowel and bladder movement are irregular loose stools with minimum quantity,oligouria.