DIZZINESS Flashcards
35 yo F presents with intermittent
episodes of vertigo, tinnitus, nausea, and
hearing loss over the past week.
Ménière’s disease CBC
Vestibular neuronitis VDRL/RPR
Labyrinthitis (syphilis is a causeof Ménière’s disease)
Benign positional vertigo MRI—brain
Acoustic neuroma
55 yo F c/o dizziness for the past day.
She feels faint and has severe diarrhea
that started two days ago. She takes
furosemide for her hypertension.
Orthostatic hypotension due Orthostatic vital signs
to dehydration (diarrhea,diuretic use) CBC
Vestibular neuronitis Electrolytes
Labyrinthitis Stool exam (occult blood, fecal leukocytes)
Benign positional vertigo
Vertebrobasilar insufficiency
65 yo M presents with postural dizziness
and unsteadiness. He has hypertension
and was started on hydrochlorothiazide
two days ago.
Drug-induced orthostatic hypotension Orthostatic vital signs
CBC
Vestibular neuronitis Electrolytes
Labyrinthitis BUN/Cr
Benign positional vertigo MRI—brain
Brain stem or cerebellar tumor
Acute renal failure
44 yo F c/o dizziness on moving her
head to the left. She feels that the room
is spinning around her head. Tilt test
results in nystagmus and nausea.
Benign positional vertigo MRI—brain
Vestibular neuronitis Audiogram
Labyrinthitis
Ménière’s disease
55 yo F c/o dizziness that started this morning. She is nauseated and has vomited once in the past day. She had a URI two days ago and has experienced no hearing loss.
Vestibular neuronitis CBC
Labyrinthitis Electrolytes
Ménière’s disease Electronystagmography
Benign positional vertigo MRI/MRA—brain
Vertigo associated with cervical
spine disease/injury
Vertebrobasilar insuffi ciency
55 yo F c/o dizziness that started this
morning and of “not hearing well.” She
feels nauseated and has vomited once in
the past day. She had a URI two days ago.
Labyrinthitis Audiogram
Vestibular neuronitis Electronystagmography
Ménière’s disease MRI/MRA—brain
Acoustic neuroma
Vertebrobasilar insufficiency
