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
what causes labyrinthitis?
bacteria or viral infection
26
what is bells palsy?
acute facial nerve paralysis...causing facial paralysis
27
what is cause of bells palsy
viral in nature
28
what is Rx for bells palsy?
anti virals and steroids...have to give steroids!