Flashcards in 8.24 General Limb Pain 3 Deck (37)
What are the pathological neck conditions?
- cervical myelopathy
- neoplastic condition
- cervical ligamentous instability
- vertebral artery insufficiency
cervical myelopathies: What are the common s/s?
- sensory disturbance of hands
- muscle wasting of hands
- unsteady gait
- Hoffman's reflex
- b/b issues
- multi-segmental weakness and sensory changes
neoplastic conditions: things to consider
- hx of cancer
- unexplained weight loss
- constant pain
- night pain
cervical ligamentous instability: often get c/o these types of headaches
What might a cervical ligamentous instability look like?
What else can go on in the occipital region with cervical ligamentous instability?
What is associated with vertebral artery insufficiency?
- 5 D's
- cranial nerve signs
What are the 5 D's?
- drop attacks
categories of dizziness
- vertigo and nystagmus
- non-specific psychophysiologic
vertigo and nystagmus gives the sensation of
unsteadiness or imbalance without vertigo
near-fainting or lightheadedness
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
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?
Which categories of dizziness are associated with pallor, nausea, vomiting, diaphoresis?
- vertigo and nystagmus
What are some of the s/s of non-specific psychophysiologic dizziness?
- rocking or swimming sensations
- removed from body
What may cause presyncope?
What may cause non-specific psychophysiologic dizziness?
- motion sickness
- pain disorders
- personality disorders
What are the likely causes of dizziness in infants/toddlers?
- BPPV and vestibular migraine
- vestibular neuritis
- brainstem or cerebellar tumor
Children 0-4 y/o are at a high risk for
Percentage of cases where infant/toddler dizzines is caused by BPPV and vestibular migraine
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
possible causes of dizziness in children and adolescents
- vertiginous migraine
- vestibular neuritis-ear infection
- orthostatic hypotension
- seizure, syncope, nonspecific
percentage of cases that cause dizziness in children and adolescents: vertiginous migraine
percentage of cases that cause dizziness in children and adolescents: BPPV
percentage of cases that cause dizziness in children and adolescents: vestibular neuritis-ear infection
percentage of cases that cause dizziness in children and adolescents: anxiety
percentage of cases that cause dizziness in children and adolescents: orthostatic hypotension
percentage of cases that cause dizziness in children and adolescents: concussion
percentage of cases that cause dizziness in children and adolescents: seizure, syncope, non-specific
dizziness in children and adolescents: actions by provider
- lab tests
possible causes of dizziness in adults
- vestibular neuritis (labyrinthitis)
- presyncopal conditions
dizziness in adults: What might require ENT referral?
ear infection with acute dizziness
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
possible causes of dizziness in adults over age 65
action by provider: dizziness in older adults
- rule out presyncopal conditions
- could be life-threatening