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HEENT > Vertigo > Flashcards

Vertigo Flashcards

1
Q

Benign Positional Vertigo lasts _____

A

A few seconds

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2
Q

Meniere’s disease lasts _____

A

30 min - 12 hrs

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3
Q

Viral Labyrinthitis and Vestibular Neuronitis lasts ____

A

Days

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4
Q

Does BPV have hearing loss or tinnitus?

A

No

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5
Q

Dislodged otoconia collect in semicircular canals

A

BPV

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6
Q

WU for BPPV?

A

Nystagmus with Dix-Hall Pike Test

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7
Q

Trmnt for BPPV?

A

Epley maneuver at home

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8
Q

Idiopathic endolymphatic hydrops

A

Meniere’s disease

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9
Q

Hearing loss, low freq SNHL, tinnitus, vertigo, ear fullness

A

Meniere’s disease

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10
Q

Meniere’s disease has ____ frequency hearing loss

A

Low

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11
Q

Meniere’s disease trmnts

A

Diuretics, avoid caffeine and nicotine, dramamine, meclizine

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12
Q

Sudden, single attack of vertigo w/o hearing loss.

A

Vestibular Neuronitis

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13
Q

Vertigo, SNHL, w/o tinnitus

A

Perilymphatic fluid
- fluid leaks from round or oval window

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14
Q

Cervical vertigo cause

A

Spinal osteoarthritis, spondylosis

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15
Q

Temporal bone overlying semicircular canal thins out or just isn’t there

A

Superior semicircular canal dehiscence

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16
Q

Rx for acute severe vertigo

A

Valium

17
Q

Rx for less severe vertigo

A

Antiemetics: scopolamine, meclizine

18
Q

Rx nausea and vomiting

A

Antiemetics: ondansetron (zofran), promethazine (phenegran), prochlorperazine (compazine), trimethobenzamide (tigan)

19
Q

Most common cause of central vertigo

A

Drugs: NSAIDS, ABX, Muscle Relaxers

20
Q

Vertical, bi-directional, or unilateral nystagmus

A

Poss central lesion

21
Q

do peripheral or central lesions tend to cause the most system upset?

Pallor, sweats, nausea, and vomiting
Sudden Onset: Hearing Loss, Tinnitus

A

Peripheral lesion

22
Q

Brainstem symptoms

A

Diplopia, facial numbness, weakness, dysphasia

23
Q

Meniere’s + bilateral symptoms
But NO hearing loss or tinnitus

A

Migrainous Vertigo

24
Q

Trmnt for migrainous vertigo

A

Amitriptyline (antimigraine prophylactic)

25
Q

Vertigo when rotating head

A

Vertebrobasilar insufficiency (VBI)

26
Q

Mild face numbness and decreased corneal reflex

A

Acoustic neuroma

27
Q

populations?

Dizziness is more common in ____

A

woman and elderly

28
Q

___ is the 5th most common chief complaint in those >65yo

A

Dizziness

29
Q

Vertigo may come from anywhere in the vestibular organs to the ____ of the brain

A

temporal cortex

30
Q

Top 3 types of peripheral (vestibular) vertigo

A
  1. BPPV
  2. Menieres
  3. Vestibular Neuritis
31
Q

Vertigo due to inflammation of the vestibular nerve

A

Vestibular Neuronitis

32
Q

Recent history of viral URI followed by vertigo, tinnitus and SNHL hearing loss

A

Labyrinthitis
inflammation of cochlea and labyrinth. symptoms last days to weeks.

HEENT (9 decks)

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