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ENT > Dizzy patient > Flashcards

Dizzy patient Flashcards

1
Q

what is vertigo

A

the feeling that objects are spinning around you

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2
Q

what is dizziness

A

a general term to describe combination of feelings such as faintness, imbalanced, spinning objects

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3
Q

what ear problems can affect the brain

A

BPPV, menieres, vestibular neuronitis

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4
Q

what eye problems can affect the brain

A

DM and ctaracts

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5
Q

what MSK things can affect the brain

A

DM, arthritis, neurology

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6
Q

what cardio things can affect the brain

A

arrhythmias, postural hypertension

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7
Q

what brain factors can affect balance

A

MS, Stress, migraine and SOL (space occupying lesions)

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8
Q

what is the vestibulo- ocular reflex

A

lag between head movement and eye movement

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9
Q

what is nystagmus

A

involuntary movements of the eye in vestibular pathologies

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10
Q

how do you check vestibular function

A

get patient to keep eyes open whilst moving head

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11
Q

what can commonly cause dizziness

A

postural dizziness, medication side effects, psychogenic imbalance

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12
Q

what does BPPV stand for

A

benign positional paroxysmal vertigo

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13
Q

What is BPPV

A

vertigo looking up

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14
Q

what are causes of BPPV

A

head trauma, ear surgery, idiopathic

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15
Q

what happens in BPPV

A

bits of otolith material displace from utricle and into semi circular canals- commonly posterior

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16
Q

is tinnitus, hearing loss or aural fullness associated features of BPPV

A

no

17
Q

what is vestibular neuronitis

A

prolonged vertigo usually from viral origin not associated with hearing problems

18
Q

What is labyrinthitis

A

prolonged vertigo associated with hearing loss, tinnitus, viral

19
Q

what is menieres disesae

A

a disorder of the inner ear that can affect both balance and hearing

20
Q

what are some symptoms of menieres

A

recurrent, spontaneous rotational vertigo with >2 episodes 20mins long. Worsening tinnitus, aural fullness, SNHL

21
Q

how do you manage menieres disesae

A

supportive treatment during episodes, tinnitus therapy, hearing aids- grommets wand reduced salt diet

22
Q

what is phonaphobia

A

fear of loud noises

ENT (16 decks)

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