syncope/vertigo/AMS Flashcards

1
Q

What are signs of someone with increased arousal

A

hypervigilance
agitated

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2
Q

What are signs of someone with decreased arousal

A

Comatose
stuporus
lethargic

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3
Q

What are signs of someone with increased cognition

A

super smart w/o complaint

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4
Q

What are signs of someone with decreased cognition

A

confusion
amnesia
hallucinations
detachment from reality

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5
Q

What are the levels of consciousness

A

hyperalert
confused
delirious
somnolent
lethargic
obtunded
stuporous
comatose

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6
Q

What does obtunded mean

A

similar to lethargy but worse
sleeps more than normal
drowsy between sleep
slow stimulatory response

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7
Q

If someone responds to stimuli with incoherent mumbles, what will their level of alertness be

A

somnolent

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8
Q

What is delirium

A

acute onset
reversible

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9
Q

What is psychosis

A

sudden onset
rule out organic causes

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10
Q

If a patient comes in complaining of dizziness, lightheadedness, feeling faint, feeling like they are off balance, what might their diagnosis be

A

Vertigo

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11
Q

How do you do a vertigo evaluation

A

Ti-timing
Tr-Triggers
A-and a
T- targeted
E- evaluation

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12
Q

What are the three main categories of vertigo

A

triggered episodic
spontaneous episodic
continuous vestibular

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13
Q

What is continuous vestibular vertigo

A

lasts days to weeks

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14
Q

What is spontaneous episodes vertigo

A

no triggers
lasting seconds to days

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15
Q

What is triggered episodic vertigo

A

brief intermittent episodes lasting seconds to hours

triggered by position change

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16
Q

What is BPPV and what does it stand for

A

benign paroxysmal positional vertigo

displaced canaliths in semicircular canals
-usually in posterior or horizontal canal

17
Q

What is Menieres disease

A

spontaneous episodic vertigo with low frequency hearing loss, often unilateral

18
Q

How would you treat Menieres disease

A

Diuretics
sodium restriction

19
Q

What is a vestibular migraine

A

vertigo with photophobia, phonophobia, or visual aura

20
Q

What is vestibular neuritis

A

continuous vestibular vertigo