60/F vertigo, fall on floor, NCCT - normal, 16mg betahistine TDS given mild relief, BP normal. Rx?
? POST TRAUMATIC VERTIGO.. ? BPPV .. AS NCCT STUDY NORMAL.. NEED'S.. * PHYSICAL AND COGNITIVE TEST . * ANTI NAUSEA MEDICATION.. * EXERCISE BASED .. VESTIBULAR ..REHABILITATION.. * MINIMIZATION OF ENVIRONMENTAL.. TRIGGERS.. * MIGRAINE TREATMENT.. IF INAPPLICABLE..
Seems to be a c/o BPVV Continue betahistamine 16mg tds for 5days than tapper off as pt improves but maintain on 1od I will suggest to add tab stemetil 5mg 1tds for 3to5 days and withdraw Meanwhile investigate in detail
Benign paroxysmal positional vertigo. Use two pillows when you sleep .Avoid sleeping on the "bad" side .Don't turn your head far up or far down.. Chlorpromazine tab 5 mg TID.x t days.
Absolutely BPPV. Betahistine 16 mg TDS regularly 5- 7 days. Mythylcobalamine + D3 Sublingual use 1tab.x10 days with PPI OD X 10 days. is more important things to the patient.
Ask for CERVICAL X RAY AP and Lateral view 'and Refraction test most PROBABLY a case of CERVICAL SPONDYLITIS
It’s BPPV Tab emidoxyn bd Tab sturgeon forte bd Check BP and sugar status
SUGGESTIVE. OF . B. P. P. V NEEDS ALL. ROUTINE. INVESTIGATION
Please do dix halpike maneuver for BPPV CONTINUE BETAHISTINE BRANDT DAROFF EXERCISE tds
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