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66F HYPOGLYCEMIC SEIZURES

 


A 66-year-old woman, hailing from Narketpally, had a traditional upbringing alongside her two younger brothers and a sister. She lost her father to cancer and mother expired one year later.Despite her education halting at the 8th standard due to marriage at age 10, she embraced homemaking, facing the heartache of losing her first child and later nurturing two sons, one through 12th grade and the other through primary education. Sadly, her husband passed away 25 years ago, followed by her elder son leaving home two years later. Entrusted by her brother, she managed an old age home housing 40 residents, which became her livelihood, earning around 2 lakhs monthly. Using her income, she bought gold for herself and her grandson's wedding. Health issues emerged 25 years ago with hypertension, followed by a hysterectomy due to uterine infection 20 years ago, leading to post-operative complications and weight gain. Diabetes was diagnosed 15 years ago, and recently, hypothyroidism was discovered, necessitating thyronorm 12.5mcg. On occasion, she skips meals when unwell, as on April 29th when feverish, leading to hypoglycemic seizures from missed  dinner after taking insulin.

Her daily routine involves rising at 5 am to prepare tea for 60 individuals, followed by overseeing meals and tasks at the old age home, punctuated by a one-hour nap post-lunch. Chitchatting with the other elderly ladies advising how to deal with matters. She is like a gang leader to the old age home ladies.



ECG


LIVER


ABDOMINAL FAT


USG ABDOMEN


Investigation’s 


Fundus examination 



DIAGNOSIS

HYPOGLYCEMIC SEIZURES

HYPERTENSION

DIABETES

HYOOTHYROIDISM

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