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Neuro Week 3 > Vestibular Problems > Flashcards

Vestibular Problems Flashcards

1
Q

what is description of dizziness in vertigo?

A

room is spinning

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2
Q

what are the two divisions of vertigo?

A

central/peripheral

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3
Q

what is central vertigo?

A

when you have brainstem or cerebellar lesion

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4
Q

what are common causes of central vertigo?

A

demyelinating diseases, neoplasia, vascular insult, temporal cortex insult

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5
Q

where is issue in peripheral vertigo?

A

inner ear etiology

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6
Q

what is caloric testing?

A

shoot water in ear to test the vestibulochlear reflex

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7
Q

what is mnemonic to remember caloric testing?

A

COWS

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8
Q

explain the COWS mnemonic for caloric testing?

A

cold water is contralateral (Opposite) ear of nystagmus

warm water is ipsilateral (Same) ear as nystagmus

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9
Q

what is a demyelinating disorder that may lead to vertigo?

A

MS

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10
Q

with MS is it only vestibular symptoms that have to do with the ear?

A

no you can have sudden hearing loss too

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11
Q

what neoplasias commonly cause vertigo?

A

schwannoma and meningioma

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12
Q

what is BPPV?

A

benign paroxysmal positional vertigo

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13
Q

what is pathology of Benign paroxysmal positional vertigo?

A

calcium carbonate crystals deposit in the semicircular canals

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14
Q

what are symptoms of Benign paroxysmal positional vertigo?

A

sudden vertigo related to certain positions

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15
Q

do you have hearing loss in Benign paroxysmal positional vertigo?

A

NO

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16
Q

what is test for Benign paroxysmal positional vertigo?

A

Dix hallpike

17
Q

what is maneuver to relive of Benign paroxysmal positional vertigo?

A

epley maneuever

18
Q

what is pathology of menieres disease?

A

endolyphatic hydrops…more fluid in endolymph than needed

19
Q

what are the four symptoms of menieres diseasE?

A

episodic vertigo
tinnitus
hearing loss (sensorineural)
aural fullness

20
Q

what is aural fullness in menieres?

A

feeling like the ear is full

21
Q

is hearing loss low or high frequency in menieres?

A

low frequency loss

22
Q

what is Rx for menieres disease?

A

diuretics/low salt diet

23
Q

what is labyrinthitis?

A

infection of the endolymph and perilymph

24
Q

what are the two symptoms of labyrinthitis?

A

vertigo and hearing loss lasting days

25
Q

what causes labyrinthitis?

A

bacteria or viral infection

26
Q

what is bells palsy?

A

acute facial nerve paralysis…causing facial paralysis

27
Q

what is cause of bells palsy

A

viral in nature

28
Q

what is Rx for bells palsy?

A

anti virals and steroids…have to give steroids!

Neuro Week 3 (13 decks)

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