60/F vertigo, fall on floor, NCCT - normal, 16mg betahistine TDS given mild relief, BP normal. Rx?

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? 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..

Tnx &wc Dr Ajeet Pal Singh
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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

Thanx dr Pranab Bera
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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.

Thank you Sir@Dr. Ajeet Pal Singh .
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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