DIZZINESS Flashcards
1
Q
dizziness key hx: character
A
lightheadedness vs vertigo (sensation of movement)
2
Q
dizziness key hx: assoc sxs
A
auditory sxs (hearing loss, tinnitus) visual disturbance URI ear pain/discharge nausea palpitations chest pain LOC falls neck pain/injury
3
Q
dizziness key hx: onset
A
onset, duration
4
Q
dizziness key hx: timing/triggers
A
duration, context (positioning, following head trauma)
5
Q
dizziness key hx: severity
A
“confined to bed”
6
Q
dizziness key hx: aggravating factors
A
head movement, standing
7
Q
dizziness key hx: meds
A
medication use/changes
8
Q
dizziness key hx: med hx
A
hx of atherosclerotic vascular dz
9
Q
dizziness key PE
A
VS (orthostatics) complete neuro exam Romberg nystagmus Dix-Hallpike maneuver EOMs gait hearing Weber/Rinne ENT CV
10
Q
Meniere dz ddx
A
BPV
labyrinthitis
vestibular neuronitis
acoustic neuroma
11
Q
Meniere dz w/u
A
Dix-Hallpike maneuver audiometry electronystagmomography cbc vdrl/rpr mri brain
12
Q
orthostatic hypotension due to dehydration ddx
A
vertebrobasilar insufficiency cardiac arrhythmias vestibular neuronitis labyrinthitis BPV
13
Q
orthostatic hypotension due to dehydration w/u
A
orthostatic VS rectal exam (diarrhea) CBC urea, elytes ekg stool for occult blood (diarr) stool leukocytes (diarr)
14
Q
drug-induced orthostatic hypotension ddx
A
furosemide ototoxicity vertebrobasilar insufficiency vestibular neuronitis labyrinthitis BPV brain stem or cerebellar tumor
15
Q
drug-induced orthostatic hypotension w/u
A
orthostatic VS cbc urea/elytes ecg echocardiography mri brain
