                      NANAVATI


                                     Super Speciality
                      MAX Hospital




                                                                                                                                   Page 1 of 1
                                  Mrs. Manju Mishra
                                                                                               Location:                   Nanavati Hospital
         Patient Name:            40 year(s) 0 month(s) 10 day(s) /Female
                                                                                               Date:                       Thursday, May 11, 2023 3:25 PM
         Age / Sex:               NSSH.1193959
                                                                                               Invoice No:                 NSCS434879
         Maxld:                   Dr. Jaini Lodha Bhandari
                                                                                               Referred By: Dr. Pradyumna Oak
         Doctor Name:
                                  ENT
         Speciality




          Allergy: No Known Allergy

         Chief Complaints and History of Present Illness
          HIO POSITIONAL DIZZINESS , MORE ON RIGHT SIDE SINCE ONE YEAR ON AND OFF WITH RIGHT PERIAURICULAR

         FULLNESS AND PARAESTHESIA
         NO DECREASED HEARING, NO TINNITUS , NO NAUSEA AND VOMITING


          Physical Examination
          EAR: BIL TM INTACT
         RINNES: BIL. POSITIVE
         WEBER: CENTRAL
         SUPINE LOG ROLL TEST AND DIX HALLPIKE TEST IS NEGATIVE

         NOSE: WNL
         THROAT: WNL


        Provisional Diagnosis
        HISTORY IS SUGGESTIVE OF BPPV ALTHOUGH CURRENTLY NONE OF THE TESTS ARE POSITIVE


        Medicine Advised

          Sno                           Medicine                                  Schedule                                   Instruction                        Route           Days

                  VERTIN 10MG TAB (1X15)                                    TWICE IN A DAY                 SOS IN CASE OF ACUTE ATTACKS                     ORAL            2
                  (BETAHISTINE 16 MG)

        Advice

        AVOID SUDDEN HEAD MOVEMENTS
       FOLLOW UP NEXT TIME WHEN THERE IS AN ACUTE ATTACK OF DIZZINESS




                                                                                       PPADUEN ICA
                                                                                                                                                 Dr. Jaini Lodha Bhandari
                                                                                                           1 + Dr. Baly
                                                                                                                                       Senior Consultat ENT Surgeon

                                                                                                                          MS ENT (AIIMS, NEW DELHI), DNB ENT
                                                                                                F231
                                                                                             Reg. No.




Dr. Balabhal Nanevati Hospital (Charitable)
5. V. Road, Vile Pare (W), Mumhat 400 056
Tel :91 22 262

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Nanavati Hospital', 'clinic_pharmacy_address': '5. V. Road, Vile Pare (W), Mumbai 400 056', 'clinic_pharmacy_city': 'Mumbai', 'clinic_pharmacy_pincode': '400056'}, 'doctor_details': {'doctor_name': 'Dr. Jaini Lodha Bhandari', 'doctor_qualifications': 'MS ENT (AIIMS, NEW DELHI), DNB ENT', 'doctor_registration_number': 'F231'}, 'patient_details': {'patient_name': 'Mrs. Manju Mishra'}, 'prescription_details': {'date_of_doctor_consultation': 'Thursday, May 11, 2023 3:25 PM'}, 'procedure': {'chief_complaints_diagnosis': 'HIO POSITIONAL DIZZINESS, MORE ON RIGHT SIDE SINCE ONE YEAR ON AND OFF WITH RIGHT PERIAURICULAR FULLNESS AND PARAESTHESIA. NO DECREASED HEARING, NO TINNITUS, NO NAUSEA AND VOMITING. '}, 'medicine_details': [{'medicine_name': 'Vertin 10mg Tab (Betahistine 16 mg)', 'medicine_dosage': '1 tab twice a day', 'medicine_frequency': 'As needed in case of acute attacks', 'course_duration': '2 days'}], 'lab_test_details': {'lab_test_names': 'PPADUEN ICA', 'procedure_request': 'Dr. Jaini Lodha Bhandari'}}