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vestibular Flashcards

1
Q

where can vestibular causes of dizziness come from

A

centrally or peripherally

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2
Q

most important tool in vestibular and balance assessment

A

HISTORY is PRIMARY assessment tool

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3
Q

Dix Hallpike test

A

diagnostic for nystagmus
brief (less than 30s) and rotary
accompanied with vertigo

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4
Q

what are you looking for on dix hallpike

A

torsional nystagmus

is positive PC -BPPV in DEPENDENT EAR

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5
Q

precautions / contraindication for Dix hallpike

A

vertebro basilar ischaemia / insufficiency

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6
Q

VBI assessment questions

A

5D
3N (nausea , nystagmus, numbness)
Take them down

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7
Q

negative dix hallpiek test

A

this means non BPPV cause of dizzienss

dizziness without nystagmus
dizziness worse getting to of test position

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8
Q

BPPV

A

benign paroxysmal positional vertigo

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9
Q

how to assess BBPV

A

history and dix hallpike

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10
Q

primary systems Of BPPV

A

short duration vertigo w specific movements

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11
Q

treatment of BPPV

A

for crystals modified epley but they might have other balance, falls and education

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12
Q

will epley work no matter what

A

not if there is error in technique

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13
Q

BPPV prognosis

A

excellent, 75-90% in one treatment, 90-95% with two treatment

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14
Q

complications of BPPV

A

can be in horizontal canal if you do EPLEY wrong

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15
Q

VOR is deficient with ___ and ____ patients

A

unilateral and bilateral vestibular loss

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16
Q

patients with VOR present with ___ __ __ __

A

dizziness im balnce oscillopsia and +- nausea

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17
Q

systems of chronic UVL

A 
dizziness 
oscillpsia
imbalnce
motion interolerance
sensitiy
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18
Q

what makes UVL worst

A

repetitive head movements

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19
Q

how to treat UVL

A

resolve the conflict to get ride of symptoms

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20
Q

do you do cookery cathrone exericses

A

not recommended

21
Q

exercises for UVL

A

adaptation exercises (gaze stability)
balance / gait exercises
walking programme

22
Q

gentamicin

A

can cause dizziness

can cause BVL

23
Q

example of aminoglycosde antibiotics

A

gentamicin

24
Q

objective gait assessment in vestibular

A

walking with eyes open and closed

walking with head turns

25
Q

a good composite test for vestibular dysfunction is

A

dynamic gait index

26
Q

BVL treatment

A 
gaze stability (adoption) exercies
balance and gait retraining
27
Q

red flags on clinical tests

A

direction changing nystgmus

inconsistency in test results

28
Q

objective tests for vestibular and balance

A

vestibular, visual , proprioceptive
balance and gait
funcional tests

29
Q

most common vestibular signs

A

vertigo
dizziness
oscillopsia

30
Q

important questions in vestibular history

A 
vertigo 
diziness
oscippolio 
motion intolerance
falls
light head
nausea 
5D 3N
onset
meds
31
Q

whats a central test for vestibular

A

eye exams

32
Q

mostly which canal has BPPV

A

posterior

33
Q

whats dix hall pike test

A

post / ant

34
Q

contraindincdations dix hallpike

A

VBI

instability (cervical, occipital, fracture, RA), whiplash

35
Q

latent onset from dix hallpike `

A

1-30 s, occasionally up to 60s

36
Q

transient nystagmus from dix hallpike

A

1-30s

no>60s

37
Q

negative test dix hallpike

A

dizziness without nystagmus

dizziness worse getting out of test option than in position

38
Q

UVL is a __ dyfunction

A

peripheral

39
Q

peripheral tests

A

dix
head thrust
dynamic visual acuity
balance and gait

40
Q

UVl most common exercis

A

Adaptaion
balance /gait
walking
functional tasks

41
Q

example of UVL patient

A

after acoustic neuroma removal

42
Q

menieres disease

A

cluster of pathologies

do not assume they benefit from VR

43
Q

acute UVL

A

spontaneous nystagmus, reduced VOT, vertigo, dizziness, osciolpia, imbalance vomtitimg

44
Q

chronic UVL

A

dizziness, oscilopsia, imanace, motion intolerence

repetion hurts

45
Q

difference UVL and BVL

A 
BVL no dizziness or verticgo
from drugs (gent)
46
Q

treatment UVL BLV

A

similar

47
Q

cervicogenic dizziness

A

diagnosis of exclusion

48
Q

treatment of cervicogenic

A

management vestibular dysfunction

management of proprioceptive

544 (19 decks)

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