
A 53- year -old women from komatpally, presented to hospital with: Left side hemiplegia Uncontrolled sugar from past 10 year Renal mass noted in right upper pole of kidney Headache from 2 days Patient is suffering with chest pain History of present illness: -patient was apparently asymptomatic 10 yrs ago ,who was a agriculture worker.one week back ,patient was unconscious and partial paralysis on left side of the body. patient is suffering with severe headache from past 2 days.patient is suffering with stomach pain at lower abdominal region. patient is complaining with weekness from past 10 days.patient was referred to hospital and has been admitted here from past one week Past history: -No history of hypertension -Patient is suffering with diabetes mellitus since 10 yrs - patient is not suffering with asthma,epilepsy,tuberculosis -patient was never involved in any kind of accident -no past surgery Personal history: -mixed diet of veg &non - veg -appeti...