Dizziness Flashcards

1
Q

Name the dizziness ddx:

Elderly, acute onset
Recurrent vertigo, tinnitus, no hearing loss
Ataxia
Lack of coordination
Sensory/motor deficits

A

Brain stem/cerebellar dysfunction

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2
Q

Name the dizziness ddx:

Recurrent episodes of dizziness, lasts seconds to minutes
Associated with positional changes
Some relief in motionless news
Lateral or rotary nystagmus
No tinnitus or hearing loss

A

BPPV

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3
Q

BPPV tx

A

Epley Manuver
Vit D to prevent recurrences

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4
Q

Name the dizziness ddx:

Sudden onset
Lasts hours
Recurrent
Tinnitus and fullness in earrings
Fluctuating hearing loss, low tones
Lateral or rotary nystagmus

A

Meniere disease

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5
Q

Meniere disease treatment

A

Low sodium diet
Diuretic herbs like dandelion root

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6
Q

Name the dizziness ddx:

Sudden onset
After a viral infection
N/V
Nystagmus
No hearing loss
Loss of equilibrium

A

Vestibular neuronitis

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7
Q

Name the dizziness ddx:

Sudden onset, lasts hours to days
Lateral nystagmus
Hearing loss
N/V

A

Labyrinthitis

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8
Q

Labyrinthitis tx

A

eustachian tube massage
Anti-inflammatory diet/herbs

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9
Q

Name the dizziness ddx:

Gradual onset
Mild vertigo
Persistent tinnitus
Facial numbness, weakness
Unilateral hearing loss
Poor speech discrimination

A

Acoustic neuroma

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10
Q

Name the dizziness ddx:

Hx trauma
Hearing loss
Nystagmus
Vertigo

A

Perilymph fistula

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11
Q

Name the dizziness ddx:

Pain in ear or face
Hx ear or sinus infections
Gradual onset vertigo
Tender sinuses
Prurulent nasal dc

A

Otitis/sinusitis

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12
Q

Otitis/sinusitis tx

A

Neti pot
Sinus compresses

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13
Q

Name the dizziness ddx:

Hx chronic middle ear infection shiny white mass on otoscopic
Foul smelling dc
Conductive hearing loss

A

Cholesteatoma

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