Vertigo Flashcards
1
Q
benign paroxysmal positional vertigo
- presentation
- investigation
- treatment
A
acute and position provoked
hallpike - nystagmus
2
Q
Labrynthitis
- presentation
- investigation
- treatment
A
Inner ear affected by virus
acute vertigo, tinnitus and hearing loss
wait - vestibular suppressants, anti-emetics, teat if bacterial
3
Q
Acoustic neuroma
- presentation
- investigation
- treatment
A
Tumour on the vestibular nerve - benign (destroys nerves)
- progressive symptoms - vertigo and tinnitus, facial/trigeminal dysfunction
- MRI
- removal
4
Q
Meniere’s disease
- presentation
- investigation
- treatment
A
Idiopathic, inner ear membrane rupture
- progressive tinnitus, hearing loss - fullness of ear
- periods of better but gets worse generally
- hearing tests
- conservative management
5
Q
Ramsay hunt
- presentation
- investigation
- treatment
A
reactivation of chicken pox in older people - vestibular nerve
- acute, vesicles along the canal + vertigo, tinnitus, hearing loss
- clinical
- corticosteroids and acyclovir
6
Q
What is the classic history of benign paroxysmal positional vertigo?
A
in bed, wakes up, turns head and everything spins