79M SYNCOPE HTN DM CVA

79M lost his father during his childhood and had been taken care by his elder siblings who also took care of his education. Took degree from polytechnic AIEEE. Built two houses by age 27.At age 28 he got married and had two children( one son and daughter).

His life was smooth until 2000 when he experienced financial crisis through chit fund. His wife was stressed about it and had Brain stroke which took her life away after 5 days. After the loss of his wife he felt lonely and started consuming alcohol which he later stopped.

His elder son did not marry as to take care of the patient. Both stay in their own home taking care of each other. 10 years ago he suddenly had left upper and lower limb weakness, diagnosed with CVA. During the same time he also was found out to be hypertensive and diabetic. He also had hearing difficulties from same time.

Two months ago patients son had to travel to Hyderabad for work purpose, so he put the house for sale. For patient it was an emotional encounter as he built the house by himself and do not want to sell it, so he turns off the offers and send away people who come to enquire any house details

Three days ago patient had sudden onset of giddiness followed by loss of consciousness for thirty minutes, without any postictal confusion, involuntary movements, bowel or bladder disturbances

Since one day patient had complains of generalised weakness and loss of appetite

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