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27 Cards in this Set
- Front
- Back
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What are the 4 categories of vertigo?
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Vertigo
Pre-syncope Ataxia other/combo |
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A sensation of rotational movement or "feels like the room is spinning" are c/o what type of vertigo?
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Vertigo
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What disorder is due to vestibulo-cochlear system?
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vertigo
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What disorder is r/t complaints of "near fainting" or "about to pass out"?
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pre-syncopal
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Pre-syncopal vertigo is due to __ or insufficiency of what the brain needs.
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insufficient cerebral perfusion
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If a pt. c/o "unsteady on her feet" what type of vertigo complaint is this?
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Ataxia
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Ataxia is due to a disorder of the __.
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cerebellum
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A disorder of the cerebellum, the CNS or PNS, or proprioceptive system is the cause of what type of vertigo?
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ataxia
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Complaints of weakness, dissociation, or the combination of symptoms is what type of vertigo?
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combo
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Labyrinthitis, BPPV, Menieres and Acoustic Neuroma's are all complaints of what type of vertigo?
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Vertigo
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A pt. with orthostatic hypotension, vasovagal, anemia, or dehydration has what type of vertigo?
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Pre-syncope
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If a pt is intoxicated, has B-12 deficiency, MS, or Parkinson's disease...they have what type of vertigo?
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Ataxia
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What is caloric testing?
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pt. lies supine with head tilted at 30 degrees, 1-3ccs of ice water is infused into the ears. This induces a burst of nystagmus with fast phase directed away from the stimulated ear. Warm water produces a fast phase towards the stimulated ear.
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What does the mneumonic COWS mean?
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cold opposite, warm same
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What condition is usually due to a viral infection of the vestibular nerve secondary OM or URI
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vestibular neuritis
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How do you treat vestibular neuritis?
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Methyl prednisone 100mg x3 days with taper over three weeks
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What condition is due to otolith debris in the semicircular canals?
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Benign Paroxsymal Positional Vertigo
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How do you treat BPPV?
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particle repositioning maneuvers (Epley manuver)
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Endolymphatic hydrops is also called ___?
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Menieres disease
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What condition is due to endolymph hypertension?
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Meniere's disease
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What condition presents with vertigo, tinnitus, ear pressure and hearing loss?
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Meniere's disease
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What is the treatment of Meniere's disease?
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low salt diet (1-2gm/day)
HCTZ 25mg/day |
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What medication can be helpful for complaints of dizziness?
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meclizine 25mg p.o. Q6 hours
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What type of rehab can be helpful to a pt. with vertigo?
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vestibular rehab
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The Dix-Hall-Pike manuver is diagnostic for what condition?
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BPPV
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What are you looking for when doing the Dix-Hall-Pike manuver?
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Nystagmus
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What is the Rhomberg test good in diagnosing?
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Proprioceptive disorders (balance) what the police use as a sobriety test.
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