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27 year old male with chief complaints of headache and dizziness

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  This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solveb those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome. A 27 year old male who works in printing press came to hospital with chief complaints of: Headache since 4 years Syncopal attack since 4 years ,last episode was 10 days ago. HOPI: Patient was apparently asymptomatic 4years back then he developed headache which is sudden in onset,gradually progressed in occipital region to neck not associated with nausea and vomitings it aggrevated by lifting heavyweights and climbing stairs and relieved spontaneously. Syncopal attack w