8.24 General Limb Pain 3 Flashcards Preview

8501 Clin Med > 8.24 General Limb Pain 3 > Flashcards

Flashcards in 8.24 General Limb Pain 3 Deck (37)
Loading flashcards...
1

What are the pathological neck conditions?

- cervical myelopathy
- neoplastic condition
- cervical ligamentous instability
- vertebral artery insufficiency

2

cervical myelopathies: What are the common s/s?

- sensory disturbance of hands
- muscle wasting of hands
- unsteady gait
- Hoffman's reflex
- hyperreflexia
- b/b issues
- multi-segmental weakness and sensory changes

3

neoplastic conditions: things to consider

- hx of cancer
- unexplained weight loss
- constant pain
- night pain

4

cervical ligamentous instability: often get c/o these types of headaches

occipital

5

What might a cervical ligamentous instability look like?

cervical myelopathy

6

What else can go on in the occipital region with cervical ligamentous instability?

occipital numbness

7

What is associated with vertebral artery insufficiency?

- 5 D's
- cranial nerve signs

8

What are the 5 D's?

- dizziness
- dysphasia
- dysarthria
- diplopia
- drop attacks

9

categories of dizziness

- vertigo and nystagmus
- dysequilibrium
- presyncope
- non-specific psychophysiologic

10

vertigo and nystagmus gives the sensation of

spinning

11

dysequilibrium

unsteadiness or imbalance without vertigo

12

presyncope

near-fainting or lightheadedness

13

If a pt has fullness in the ears, tinnitus, and hearing loss associated with dizziness, what would you think is the cause?

vertigo and nystagmus

14

If the pt has somatosensory, visual, decreased reaction time, lack of corrective ROM, an aging brain, or cerebellar issues associated with dizziness, what would you think is the issue?

dysequilibrium

15

Which categories of dizziness are associated with pallor, nausea, vomiting, diaphoresis?

- presyncope
- vertigo and nystagmus

16

What are some of the s/s of non-specific psychophysiologic dizziness?

- floating
- rocking or swimming sensations
- removed from body
- giddiness

17

What may cause presyncope?

- cardiovascular
- metabolic
- vasovagal
- medication
- stress

18

What may cause non-specific psychophysiologic dizziness?

- anxiety
- motion sickness
- pain disorders
- personality disorders
- depression
- agoraphobia

19

What are the likely causes of dizziness in infants/toddlers?

- BPPV and vestibular migraine
- vestibular neuritis
- brainstem or cerebellar tumor
- TBI

20

Children 0-4 y/o are at a high risk for

TBI

21

Percentage of cases where infant/toddler dizzines is caused by BPPV and vestibular migraine

50%

22

What action should be taken by the provider if an infant/toddler has dizziness? Why?

like need an MRI - prevalence of brain tumor in children

23

possible causes of dizziness in children and adolescents

- vertiginous migraine
- BPPV
- vestibular neuritis-ear infection
- anxiety
- orthostatic hypotension
- concussion
- seizure, syncope, nonspecific

24

percentage of cases that cause dizziness in children and adolescents: vertiginous migraine

39%

25

percentage of cases that cause dizziness in children and adolescents: BPPV

15%

26

percentage of cases that cause dizziness in children and adolescents: vestibular neuritis-ear infection

14%

27

percentage of cases that cause dizziness in children and adolescents: anxiety

13%

28

percentage of cases that cause dizziness in children and adolescents: orthostatic hypotension

9%

29

percentage of cases that cause dizziness in children and adolescents: concussion

3%

30

percentage of cases that cause dizziness in children and adolescents: seizure, syncope, non-specific

2%

31

dizziness in children and adolescents: actions by provider

- lab tests
- electroencephalography
- MRI

32

possible causes of dizziness in adults

- vestibular neuritis (labyrinthitis)
- BPPV
- presyncopal conditions

33

dizziness in adults: What might require ENT referral?

ear infection with acute dizziness

34

Aside from an ENT referral, what else may needed to determine the cause of dizziness in adults?

attempt to differentiate between central and peripheral vestibular conditions

35

possible causes of dizziness in adults over age 65

- BPPV
- presyncope

36

action by provider: dizziness in older adults

- rule out presyncopal conditions
- could be life-threatening

37

What are presyncopal conditions

- orthostatic hypotension
- vascular disease
- arrhythmia

Decks in 8501 Clin Med Class (102):