Dizzness

Question 1

Patient presents with dizziness

Answer 1

Central
e.g. brain stem or
cerebellar lesion
Peripheral
e.g. BPPV,
labyrinthitis
General
e.g. anemia
hypogl

Question 2

Dizziness, red flags

Answer 2

Risk factors of stroke (DM, HTN, Smoking)
• Symptoms of increased intracranial tension,
loss of consciousness
• Neurological deficit (limb weakness)
• Nystagmus: changing direction, visual fixation
doesn’t abort the attack.

Question 3

What is the difference between the red flag nystagmus and the associated?

Answer 3

At red flag visual fixation does not support attack

Question 4

Why blood pressure is measured in dizziness

Answer 4

To see static orthostatic hypertension, which happens when systolic blood pressure decreases 20 and the diastoic decrease 10

Question 5

the most common cause of the symptoms of
vertigo

Answer 5

BPPV

Question 6

BPPV symptoms

Answer 6

Its
symptoms are repeated episodes of positional
vertigo, that is, of a spinning sensation caused
by changes in the position of the head

Question 7

What is the treatment of BBV?

Answer 7

Canalith Repositioning Procedure
• Medical treatment: (Vestibular suppressants).
Commonly used to reduce symptoms of acute
episodes of vertigo, although there are no
RCTs to support its use;
– Betahistine (Betaserc): 8 – 24 mg once daily
– Anti-emetics in cases of nausea and vertigo.

Proper patient education:
– Two or more pillows while in bed.
– Avoiding sleeping on the affected side, and rising slowly
from bed in the morning.
– Avoiding looking up, such as at a high cupboard shelf, or
bending over to pick up something from the floor.
– Be careful when positioned in a dentist’s or hairdresser’s
chair, when lying supine, or when participating in sports

Question 8

How to put vestibular neuritis

Answer 8

Rapid onset of severe resistant vertigo, nausea, vomiting, gait in stability spontaneous vestibular, nystagmus, positive head impulse get any stability without a loss of the ability to ambulate

Question 9

Acute vertigo with hearing ipsi lateral facial paralysis. Ear pain vesciles in the auditory canal

Answer 9

Herpes zoster oticus

Question 10

Spontaneous episodic vertigo last from minute to hours with unilateral tenets, tinnitus, hearing loss, ear, fullness, nausea, vomiting

Answer 10

Meniere dx

Question 11

Traumatic peripheral vestibular injury after trauma, nausea, vomiting, vertigo, imbalance, improve over days

Answer 11

Labyrinthine concussion

Question 12

Mention drugs that can cause vertigo

Answer 12

Antihypertensive antihistaminic
Antiepileptic benzodiazepines Diaa
Alcohol
Anti, arithmetic, anti-dementia

Question 13

Test to diagnose bppv

Answer 13

Dix hall;ike maneuver

Question 14

HINTS

Answer 14

Head impulse nystagmus test of skew
Distguish periphral from central nystagmus

Question 15

Head impulse test positive

Answer 15

Peripheral cause

Question 16

Horizontal nystagums is

Answer 16

Peripheral cause

Question 17

Vertical nystagmus

Answer 17

Centralc ause

Question 18

Teast of skew positive

Answer 18

Central cause

Question 19

Management of vertigo

Answer 19

Use the for acute episodes not the brief as bbpv except when a frequency spells is very high

Antihistamine benzodiazepines animatics