Lecture 35 - Clin Evaluation of Balance

Question 1

Taking history?

Answer 1

ear, eye, vertigo pescence and duration, episodic nature

Question 2

Precipitating factors?

Answer 2

head movement, noise, diving, migraine

Question 3

Associated factors?

Answer 3

migraines, tinnitus, hearing loss, aural fullness

Question 4

Tests?

Answer 4

head thrust, fukuda stepping, fistula, Dix Hallpike

Question 5

Head thrust test purpose?

Answer 5

catch-up saccade when instructed to fix focus

Question 6

Nyastagmus?

Answer 6

rhythmic pattern of eye movement w slow phase and fast recovery phase - fast recovery is the direction

Question 7

Caloric testing?

Answer 7

stimulating ear w warm or cold water mimics head movement, but of only one direction causing COWS nyastagmic eye movement

Question 8

Fistula test?

Answer 8

pushing ear moves eye to other direction due to fluid compression

Question 9

Benign Paroxysmal Positional Vertigo?

Answer 9

<1min vertigo, associated w position, NO tinnitus or hearing loss

Question 10

Management tactics?

Answer 10

of the condition, of the vertigo, maximise other systems (contact w environment, eyes open)