Week 5.6 DD Patient History Flashcards
we need to take 3 things when taking a patients history what are they
tempo, symptoms and circumstance
what is tempo
the timing! so is is acute (3 days or less), chronic (more than 3 days) or is it spells or episodes, like seconds, minutes, hours.
what is vertigo
illusion of movement of the self or the environment like spinning due to a sudden imbalance
what is disequilibrium
imbalance or unsteadiness while standing or walking, like you are walking on a boat or in a fun house
what can cause disequilibrium
visual disturbances, vestibular function loss or proprioception deficits
why do you get nausea and vomiting
stimulation of the vagus nerve centers in the medulla.
what is lightheadedness
feeling faint or like you are going to pass out, usually related to a momentary decreased blood flow to the brain (hypotension). with anxiety or depression too.
what is motion sickness
episodic dizziness or fatigue, pallor, diaphoresis nausea and vomiting induced by passive locomotion while standing or sitting still. This is a mismatch between the visual and vestibular cues
what is oscillopsia
the illusion of visual movement, like objects bouncing in your visual fields. usually used by vestibular loss
what is rocking or swaying like on a ship
mal de débarquement
what is visual motion sensitivity, and what can cause this
dizziness provoked by full field repetitive or moving visual environments or patterns, like watching a train go by, or patterned crap. CENTRAL VESTIB PROB
what are some visual changes
blurry vision, double vision, light sensitivity
what are some hearing changes
loss of hearing, difficulty hearing, fullness in the ear, or sensitivity to sound
what is it usually when you are feeling off and like floating sensation that you can’t describe
cervicogenic dizziness or psychologic mechanisms
what are we looking for when we ask about circumstance
dizziness is provoked by certain movements or situations, like sit to stand, lying down, turning, bending over, looking up, exertion
