DIZZINESS Flashcards
(21 cards)
dizziness key hx: character
lightheadedness vs vertigo (sensation of movement)
dizziness key hx: assoc sxs
auditory sxs (hearing loss, tinnitus) visual disturbance URI ear pain/discharge nausea palpitations chest pain LOC falls neck pain/injury
dizziness key hx: onset
onset, duration
dizziness key hx: timing/triggers
duration, context (positioning, following head trauma)
dizziness key hx: severity
“confined to bed”
dizziness key hx: aggravating factors
head movement, standing
dizziness key hx: meds
medication use/changes
dizziness key hx: med hx
hx of atherosclerotic vascular dz
dizziness key PE
VS (orthostatics) complete neuro exam Romberg nystagmus Dix-Hallpike maneuver EOMs gait hearing Weber/Rinne ENT CV
Meniere dz ddx
BPV
labyrinthitis
vestibular neuronitis
acoustic neuroma
Meniere dz w/u
Dix-Hallpike maneuver audiometry electronystagmomography cbc vdrl/rpr mri brain
orthostatic hypotension due to dehydration ddx
vertebrobasilar insufficiency cardiac arrhythmias vestibular neuronitis labyrinthitis BPV
orthostatic hypotension due to dehydration w/u
orthostatic VS rectal exam (diarrhea) CBC urea, elytes ekg stool for occult blood (diarr) stool leukocytes (diarr)
drug-induced orthostatic hypotension ddx
furosemide ototoxicity vertebrobasilar insufficiency vestibular neuronitis labyrinthitis BPV brain stem or cerebellar tumor
drug-induced orthostatic hypotension w/u
orthostatic VS cbc urea/elytes ecg echocardiography mri brain
BPV ddx
meniere dz
vestibular neuronitis
labyrinthitis
acoustic neuroma
BPV w/u
audiometry
electronystagmograph
mri brain
vestibular neuronitis ddx
labyrinthitis
bpv
meniere dz
vertebrobasilar stroke/tia
vestibular neuronitis w/u
audiogram
electronystagmography
ct head
mri/mra brain
labyrinthitis ddx
vestibular neuronitis
meniere dz
acoustic neuroma
vertebrobasilar stroke/tia
labyrinthitis w/u
audiogram
electronystagmography
mri/mra brain
