Upgrade to remove ads
Vertigo and Dizziness
Terms in this set (29)
Recent/abrupt onset of vertigo ddx
Peripheral causes (BPPV, vestibular neuronitis, Meniere's, cerebrovascular event)
More gradual onset of vertigo ddx
central causes (MS, ataxic d/o, seizure d/o, tumor, or CNS malformation)
BPPV normally lasts
seconds to minutes
Meniere's and sylphilis infection normally lasts
minutes to hours
a central vascular d/o onset would last how long?
minutes to hours
What is the frequency of peripheral attacks?
What is the frequency of central causes of vertigo?
more regular occurence
worse with change in position increases the likelihood of what peripheral condition?
Indication of viral URI preceding onset of symptoms would cause you to suspect:
meniere's or vestibular neuronitis
What are some known ototoxic medications?
aminoglycodies, loop diuretics
PE of true veretigo
caloric stimulation, hall pike's, looking for signs of infection on otoscopic exam
Horizontal nystagmus indicates
vertical nystagmus indicates
acute attack of vertigo with n/v, nl. hearing, lasts a few days.
recurrent attacks of n/v, tinnitus, and vertigo with dec. hearing
vertigo with change of position or turning head, caloric test/Hallpike maneuver
progressive unilateral hearing loss, tinnitus, CNS sx
gradual onset of vertigo with (potentially) unilateral weakness, diplopia, paresthesias, HA, ataxia.
BPPV treatment options?
35-50% spontaneous resolution within 1-2 months
Tx of vestibular neuronitis
generally self limiting, especially in children.
S/sxs of Meniere's Disease
recurrent attacks of Unilateral tinnitus and hearing loss.
vertigo can last from 20 minutes to 24 hours.
-avoid stimulants and salt
Sudden onset of severe vertigo lasting days to weeks. provoked by changes in head position.
This condition occurs sometimes following a URI
vertigo and nystagmus triggered by valsalva maneuver.. associated/w blunt trauma to head or barotrauma.
true or false: horizontal nystagmus is a referral situation
true or false: ataxia is a referral situation
how long should a patient be experiencing vertigo and dizziness before you refer out?
Sudden onset of facial paralysis with no other symptoms is normally suspected to be Bell's palsy. If duration lasts more than 3 months, what should you have on your ddx?
THIS SET IS OFTEN IN FOLDERS WITH...
Eye Discharge and Pain
Vision Loss and Systemic Disease of the Eye
YOU MIGHT ALSO LIKE...
ScoreBuilders: Vertigo (Neuromuscular)
8_Dizziness Illness Scripts
OTHER SETS BY THIS CREATOR
Operative procedures by lesion NPLEX II studying
NPLEX II Minor Surgery Pt II
NPLEX Musculoskeletal/Rheumatology Review