exam 2 -vetsibular issue Flashcards
what is a vestibular issue
peri, central, or a combine vetsibular issue
is there a certain population vestibular issue are seen in
no seen in all population
what causes vestibualr issue
brain - cere, vest nuclei, BS
SSC
disorder of the otolith
peri vestibular issue sym presentations
o Dizziness with positional chnages
o Spinning
o Poor balance
o Vomiting
o Nausea
o Headache (seen more commonly in central issues)
o Ear issues
There may be hearing loss
Tinnitus
o Head movement during gait
what is oscillopsia
a vision problem in which still objects seem to jump, jiggle, or vibrate due to a misalignment of the eyes or systems controlling balance
is all dizziness vestibular
no I can be caused
medication
DM
POTS
thryroid conditions
renal failure
TIA
migraines
is upbeating nys central or peri
it can be either
is down beating nys central or peri
central - go see a neurologist
what are test of the cere
didiadokikinesia - rapid alternaing movement
alternative feet tapping
finger nose
what is included in the eye assesment
pupil size
pupil sym
facial nerve sym
what are signs that you should refer back to a physician
UMN signs
swallowing issues
change in sensation that is not explained by premorbid condition
having the worst headache of their life
LOC
eye change that would sign to refer back to a doctor
change in pupil size or ptosis that is not explained by a prior medical condition
falls and refferal to doctor
repeated unexplained falls
balance issue that should be referred to a docctor
sensation of being pushed off balance - may be a BS issue
ear issue that should be referred
fluctuating hearing loss
unilateral hearing loss
eye issue to referred
VF loss
memory and referred
memory loss
how long until you referrer back to the doctor
the pt status has not improved and you have seen the pt for 2-3 months of 3-5 visits
is is better to see vestibular pt is quick time period
no it is better to space out these patients
do we normally see straight or torsion nys with peri issue
torsional and vertical mixxed
do we normally see straight or torsion nys with central issue
straight/vertical
is vertigo common with central issue
uncommon
is vertigo common with peri issue
more common
do we see issue with saccades and smooth pursuits with central or peri issue more
central
is a report of LOC every a vestibular issue
no
what is positional dizziness assocciated with vertigo normallu caused by
free floating otoconia - it is a mechanical issue
how to test for hearing loss
rub your finger near the pt ears