Dizziness Flashcards

1
Q

Commonest cause of veritgo

A

Benign postional paroxysmal vertigo

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2
Q

What are the vestibular end-organs?

A

Ampulla of lateral, posteror and superior semi-circular canals.
Macula of utricle and saccule.

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3
Q

Nystagmus is a sign of what

A

Vestibular pathology

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4
Q

BPPV will cause vertigo on what

A

Looking up, getting up from bed.

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5
Q

What is the cause of BPPV?

What is the pathophysiology?

A

Head trauma, hear surgery.

Otolith material from utricle displaced into the semi-circular canals (often posterior SCC).

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6
Q

How long does BPPV last? Is it associated with hearing loss?

A

Episodes last a few seconds to minutes.

No associated hearing loss or tinnitus.

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7
Q

Hallpike’s Test positive is indicative of what

A

BPPV

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8
Q

Vestibular neronitis veritgo lasts how long

A

Days

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9
Q

Is vestibular neuronitis a cause of tinnitus / hearing loss?

A

No - think of this as a pure balance (vestibule) issue.

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10
Q

Vestibular neruonitis is often caused by what

A

Viral infection

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11
Q

Labyrinthis vertigo is how long

A

Days

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12
Q

How is labyrinthitis differentiated from vestibular neuronitis?

A

Labyrinthitis is a cause of hearing loss / tinnitus and vertigo, vestibular neuronitis just causes vertigo with no hearing loss/ tinnitus.

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13
Q

Labyrinthitis is often caused by what

A

Viral infection

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14
Q

How are vestibular neuronitis/ labyrinthitis treated?

A

Self-limiting (supportive)

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15
Q

Cause of Meniere’s Disease

A

Unknown

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16
Q

Rotational vertigo of Meniere’s Disease will last how long

A

> 20 minutes (often hours)

17
Q

Meniere’s Disease will cause what kind of hearing loss?

A

Senisneural (needs to be documented at least once to be true Meniere’s)

18
Q

“Tinnitus worsening on one ear” is buzzword for..

A

Meniere’s Disease

19
Q

How is Meniere’s managed?

A

Supportive, Grommet’s, gentamicin drops.

20
Q

Aural fullness is positive in what ear condition

A

Meniere’s Disease only