OME - Dizziness

Question 1

3 types “dizziness”?

Answer 1

1. Vertigo
2. Presyncope
3. Disequilibrium

Question 2

Complaints leaning towards pre / syncope?

Answer 2

1. Blacking out
2. Passing out
3. LOC

Question 3

Complaints leaning towards vertigo?

Answer 3

1. Room spinning
2. Unsteady on feet
3. No LOC

Question 4

Types vertigo?

Answer 4

1. Central (ominous and require imaging)

2. Peripheral

Question 5

CN for vestibular system?

Answer 5

CN VIII

Question 6

Complaints pointing towards peripheral / central vertigo?

Answer 6

Peripheral:
1. Tinnitus
2. Hearing Loss 
Central:
1. Neuro deficit 
2. No hearing issues
3. No tinnitus
4. Cerebellar signs

Question 7

What causes central vertigo?

Answer 7

Posterior fossa insults, need MRI

Question 8

Central lesions in posterior fossa causing dizziness?

Answer 8

1. MS
2. Stroke
3. Tumor
4. Abscess
5. Migraines
6. Odd seizures

Question 9

Presentation central vertigo?

Answer 9

1. Neuro deficit - cerebellar signs

Question 10

Does peripheral vertigo need imaging?

Answer 10

NO

Question 11

DDX peripheral vertigo?

Answer 11

1. BPPV

2. Vestibular neuritis / labrynthitis

Question 12

Nystagmus in BPPV?

Answer 12

Rotary

Question 13

Different vesitublaritar neuritis / labrynthitis?

Answer 13

Labrynthitis has hearing loss

Question 14

Pathology / presentation vestibular neuritis / labrynthits?

Answer 14

1. 4 weeks post URI
2. Vertigo lasting 1 - 10 minutes
3. N / V

Question 15

Rx labyrinthitis?

Answer 15

1. Meclizine

2. Steroids

Question 16

Presentation meniere’s disease?1

Answer 16

1. Hearing loss
2. Tinnitus
3. Vertigo
4. Lasting 30 - 60 minutes

Question 17

Rx meniere’s disease?

Answer 17

1. Thiazides

2. Salt restriction

Question 18

Prognosis meniere’s disease?

Answer 18

Goes with them for whole life