36 yrs old male,teacher by profession, presented with continuous giddiness n vomiting associated with sweating since today morning. B.P. 138/86 mm of Hg. Associated complaint mild headache. No neck pain.Patient is conscious n co operative. Patient is advised CBC, Bl.sugar,complete lipid profile, TFT, s.creatinine.Reports are awaited. Patient has family history of HTN.His father operated for CABG 10 yrs back. What is your diagnosis, interpretation of ECG n management. .

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Ecg within normal limits Rule out posterior circulation stroke ACS TIA BPPV ICH Anxiety Drug abuse

Very nice approach dr.prasanthi.
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EKG is in wnl. We must not think here about any ICSOL (History is so acute in onset) or Go for MRI Brain.. Let's advise him for a complete ENT chk up and we may here think of any substance / drug ADER

ECG NORMAL. DDS. 1.BPPV 2 . POSTERIOR CIRCULATION STROKE.

Not BPPV...
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ECG IS NORMAL FOR DIZZINESS =BLOOD LIPIDS SUGAR REPORTS NYSTAGMOGRAM RX VESTIBULAR STABULATION EXERCISE VESTIBULAR SEDATIVE DRUG FOR SYMPTOMATIC RELIEF FOR SHORT PERIOD

Adv to do MRI MRI ANGIO LOOK FR BRAINSTEM GET ENT CHECK UP DONE IF ALL OF D ABOVE NORMAL 2 DECHO STRESS TEST

ECG- WNL

Normal ECG.

ECG is normal Pt.may have anxiety or hypoglaisemia.

Needs lifestyle management...Posture of neck ..WrongUse of pillow..Too much on screen TV or laptop....Reading Posture...Faulty... TabVERTIN 8 mg TDs...TSB RABICIP D ONCE A DAY....

WNL Advise CT BRAIN

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