35 year female with vertigo secondary to bppv

 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 solve 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 

chief complaints:

HEADACHE SINCE 11 YEARS

GIDDINESS SINCE 6MONTHS

HOPI:

PATIENT IS APPARENTLY ASYMPTOMATIC 11 YEARS AGO, THEN DEVELOPED HEADACHE IN THE OCCIPITAL REGION SINCE 11 YEARS WHICH GOT AGGREVATED SINCE 6 MONTHS DURATION - VARIABLE ASSOCIATED WITH NECK PAIN AND ON AND OFF LEFT EAR ACHE NOT ASSOCIATED WITH PHOTOPHOBIA ,NAUSEA , PHONOPHOBIA

GIDDINESS SINCE 6 MONTHS WHICH GOT AGGRAVATED SINCE 1 MONTH  - EPISODIC TYPE ,WHICH GETS AGGRAVATED ON SOLEPING AND RELIEVES ON SITTING

PAST ILLNESS: H/O SURGERY FOR VARICOSE VEINS ON RIGHT LEG.

H/O HYSTERECTOMY I/V/O TUMOUR

K/C/O HTN

O/E

NO PALLOR , ICTERUS, CYANOSIS, CLUBBING, LYMPHADENOPATHY , EDEMA

PT IS C/C/C

AFEBRILE PR-72

BP-130/70

RR- 16

CVS- S1S2 +

RS: BAE+

PA: SOFT , NON TENDER

INVESTIGATIONS:










Lateral chest x-ray


Lateral view cervical spine


USG








DIAGNOSIS:

VERTIGO SECONDARY TO BPPV ?

?VESTIBULAR MIGRANE

? CERVICAL SPONDYLOSIS

WITH K/C/O HTN WITH POST HYSTERCTOMY WITH RIGHT VARICOSE VEIN SURGERY

TREATMENT:

1. T. VERTIN 16mg PO/BD

2. T. ELIWEL 10mg PO/HS

3. T. TELMIKIND 20mg PO/OD

4. T. BPLEX FORTE PO/OD

 

 

 

 

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