MDT Vertigo

Question 1

Vertigo is the cardinal symptoms of what?

Question 1

Vertigo is the cardinal symptoms of what?

Answer 1

vestibular disease

Question 2

_______ is typically experienced as a distinct “spinning” sensation or a sense of
tumbling or of falling forward or backward.

Answer 2

Vertigo

Question 3

What type of vestibular dysfunction
Onset is sudden; often associated with tinnitus and hearing loss; horizontal nystagmus may be present.
1) Etiologies:
  a) BPPV
  b) Herpes zoster
  c) Otitis media
  d) Aminoglycoside toxicity

Answer 3

Peripheral

Question 4

Onset is gradual; no associated auditory symptoms; often presents with other neurologic signs and symptoms like ataxia, dysarthria, dysphagia, focal or lateralized weakness

1) Etiologies
a) Brainstem ischemia
b) Multiple sclerosis
c) Veistibular migraine

Answer 4

Central

Question 5

Nausea and vomiting are typical with ___ vertigo

Answer 5

acute

Question 6

What is first line of treatment for vertigo?

Answer 6

Meclizine
Dose: 25 to 50mg q 6-12 hours PRN dizziness
MOA: Suppresses vestibular end-organ receptors and inhibits activation of central cholinergic pathways
Note: May cause CNS depression, which may impair physical or mental abilities; patients must be cautioned about performing tasks which require mental alertness (operating machinery, driving)
SIQ!!!!!