,HISTORY OF PRESENT ILLNESS: , The patient is a pleasant 52-year-old gentleman with a history of diabetes mellitus, hypertension, and renal failure, on dialysis, who presented with emesis, dizziness, and nausea for the last few weeks. 
,HISTORY OF PRESENT ILLNESS : , The patient is a pleasant 52 - year - old gentleman with a history of diabetes mellitus , hypertension , and renal failure , on dialysis , who presented with emesis , dizziness , and nausea for the last few weeks .