A 42-year-old man walks into your OPD complaining of dizziness when he bends forward to lace his shoes. His BP is 115/95 on Telmisartan. Most GPs reduce the dose and send him home. They are wrong on three counts. Dizziness on bending forward is not the same as orthostatic dizziness — the mechanism is the opposite. A BP of 115/95 is not "controlled" — the diastolic is still hypertensive and the pulse pressure of 20 mmHg is dangerously narrow. And a new symptom on a stable medication is rarely the drug. This complete OPD framework walks you through the three clues hidden in plain sight, the full differential across BPPV, isolated diastolic hypertension, vertebrobasilar insufficiency, and the must-not-miss diagnoses, the bedside examination including Dix-Hallpike technical mastery, the Epley manoeuvre that cures BPPV in 5 minutes at the bedside, and the rational BP escalation that addresses the real problem. One-time payment. Permanent access. ₹99.
