Common cerebral histories - Vertigo Flashcards

1
Q

What would you want to ask about in relation to veritog?

A
  • Is it vertigo?
  • Duration
  • Onset
  • Progression
  • Timing - intermittent/continuous
  • Previous attacks
  • Impact
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2
Q

What are general features you would want to ask about in relation to a presentation of vertigo?

A

Fever

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3
Q

What ENT questions would you want to ask someone with features of vertigo?

A
  • Ear
    • Hearing loss
    • Tinnitus
    • Otalgia
  • Nose
    • Rhinorrhoea
    • Epistaxis
  • Throat
    • Sore throat
    • Odynophagia
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4
Q

What neurological features would you want to ask someone with features of vertigo?

A
  • Fits/faints/funny turns
  • Weakness
  • Numbness
  • Tingling/paraesthesia
  • Speech
  • Hearing
  • Visual disturbance
  • Memory loss
  • Neck stiffness
  • Phtophobia
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5
Q

What features in association with vertigo would suggest BPPV?

A
  • Attacks of sudden rotational vertigo
  • Evoked by head turning
  • Lasts 30 seconds
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6
Q

What features associated with vertigo may suggest vestibular neuritis?

A
  • Often preceded by UTRI
  • Sudden rotational vertigo and vomiting
  • Lasts several days but imbalance may persist
  • May recur several times per year
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7
Q

What features associated with vertigo would suggest labrynthitis as a cause?

A
  • Often preceded by URTI
  • Severe vertigo and hearing disturbance
  • May have tinnitus, otalgia, nausea, fever
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8
Q

What features associated with vertigo would suggest meniere’s as the cause?

A
  • Triad - tinnitus + vertigo + hearing loss
  • Attacks last for minutes to hours
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9
Q

What features associated with vertigo would suggest vetibulobasilar insufficiency as a cause?

A
  • Momentary vertigo attacks precipitated by neck extension
  • Elderly with cervical spondylosis
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10
Q

What are common peripheral causes of vertigo?

A
  • BPPV
  • Neuritis
  • Labrynthitis
  • Meniere’s
  • Acoustic neuroma
  • Chronic otitis media
  • Eustacian tube dysfunction
  • Ramsay-Hunt syndrome
  • Cholesteatoma
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11
Q

What are common causes of central vertigo?

A
  • Vertebrobasilar insufficiency
  • Vertebrobasilar stroke
  • Cerebellar stroke
  • Neuro conditions - MS, epilepsy, brain tumour, migraine
  • Head injury
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12
Q

What drugs can cause vertigo?

A
  • Alcohol
  • Salicylates
  • Quinine
  • Aminoglycocides
  • Metranidazole
  • Co-trimoxazole
  • Diuretics
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