Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
9 Cards in this Set
- Front
- Back
|
What are some important questions to ask a pt. who presents w/ dizziness?
|
Dizziness is a general symptom so have pt. describe his experiences thoroughly. Important ?'s to ask: duration, freuency of attacks, effect of head position/movement during attacks, associated otologic/vegetative/constitutional sx, concomitant ear disease, systemic factors, & Family and psychiatric Hx.
|
|
|
What PE findings are relevant in a pt who presents w/ dizziness or vertigo?
|
Any deficiencies in hearing, maintaining balance (Romber & Tandom gait), nystagmus present during eye exams.
|
|
|
What's characterized by episodic vertigo lasting hrs, hearing loss, tinnitus, aural fullness condition that is usually self-limiting?
|
Meniere's Disease
|
|
|
What is characterized by vertigo lasting <30 sec. & is induced by sudden, quick movements? How is this condition Tx?
|
Benign Positional Vertigo (BPV). Tx w/ Dix-Hallpike Maneuver.
|
|
|
What can cause sudden vertigo during sleep, worsens w/ movement and includes sensorineural hearing loss,& tinnitus? How is it Tx?
|
Labyrinthitis. Tx w/ anti-vertigo, anti-emetic meds.
|
|
|
What is characterized by tinnitus, high frequency sensorineural hearing loss, unsteadiness or balance disorder, symptoms usually unilater w/ absent acoustic reflex? How is this Tx?
|
Acoustic Neuroma. Tx w/ surgery and radiation.
|
|
|
What are other systemic causes of dizziness and how can they be Tx?
|
Orthostatic hypotension, cardiac disease, anemia, hypoglycemia, vertebrobasilar insufficiency, vestibular neuritis. Tx w/ meds. P.T., diet low in sodium and surgery.
|
|
|
What are Dx modalities used for dizziness and vertigo?
|
Hallpike maneuver is used to Dx & Tx BPV and is indicated when other causes of vertigo have been ruled out. CT is helpful to r/o Acoustic Neuroma.
|
|
|
What pharmacological and nonpharmacological Tx of dizziness and vertigo are used?
|
Dix-Hallpike maneuver for BPV; surgery & radiation for Acoustic Neuroma; meds used: anticholinergics, antihistamines, GABAergics
|
