Dizzy patient Flashcards
what is vertigo
the feeling that objects are spinning around you
what is dizziness
a general term to describe combination of feelings such as faintness, imbalanced, spinning objects
what ear problems can affect the brain
BPPV, menieres, vestibular neuronitis
what eye problems can affect the brain
DM and ctaracts
what MSK things can affect the brain
DM, arthritis, neurology
what cardio things can affect the brain
arrhythmias, postural hypertension
what brain factors can affect balance
MS, Stress, migraine and SOL (space occupying lesions)
what is the vestibulo- ocular reflex
lag between head movement and eye movement
what is nystagmus
involuntary movements of the eye in vestibular pathologies
how do you check vestibular function
get patient to keep eyes open whilst moving head
what can commonly cause dizziness
postural dizziness, medication side effects, psychogenic imbalance
what does BPPV stand for
benign positional paroxysmal vertigo
What is BPPV
vertigo looking up
what are causes of BPPV
head trauma, ear surgery, idiopathic
what happens in BPPV
bits of otolith material displace from utricle and into semi circular canals- commonly posterior
is tinnitus, hearing loss or aural fullness associated features of BPPV
no
what is vestibular neuronitis
prolonged vertigo usually from viral origin not associated with hearing problems
What is labyrinthitis
prolonged vertigo associated with hearing loss, tinnitus, viral
what is menieres disesae
a disorder of the inner ear that can affect both balance and hearing
what are some symptoms of menieres
recurrent, spontaneous rotational vertigo with >2 episodes 20mins long. Worsening tinnitus, aural fullness, SNHL
how do you manage menieres disesae
supportive treatment during episodes, tinnitus therapy, hearing aids- grommets wand reduced salt diet
what is phonaphobia
fear of loud noises
