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14 Cards in this Set
- Front
- Back
Key History -
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Lightheadedness vs. vertigo
duration of episodes auditory Sxs - hearing loss tinnitus context - occurs with positioning following head trauma other associated Sxs - visual disturbance URI nausea neck pain or injury meds h/o atherosclerotic vas dis. |
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Key PE -
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VS
complete neuro exam, include - Romberg test nystagmus tilt test gait hearing Rinne and Weber head and neck exam CV exam |
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35 y/o F
presents with intermittent episodes of vertigo, tinnitus, nausea and hearing loss over the past week. What is Differential? |
Meniere's
vestibular neuronitis labyrinthitis benign positional vertigo acoustic neuroma |
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35 y/o F
presents with intermittent episodes of vertigo, tinnitus, nausea and hearing loss over the past week. What is Workup? |
CBC
RPR/VDRL MRI - brain |
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55 y/o F
c/o dizziness for the past day She feels faint and has severe diarrhea that started 2 days ago. She takes furosemide for HTN. What is Differential? |
Orthostatic hypotension
due to dehydration vestibular neuronitis labyrinthitis benign positional vertigo vertebrobasilar insufficiency |
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55 y/o F
c/o dizziness for the past day She feels faint and has severe diarrhea that started 2 days ago. She takes furosemide for HTN. What is Workup? |
Orthostatic VS
CBC electrolytes stool exam |
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65 y/o M
presents with postural dizziness and unsteadiness. He has HTN and was started on HCTZ 2 days ago. What is Differential? |
Drug-induced orthostatic hypotension
vestibular neuronitis labyrinthitis benign positional vertigo brain stem or cerebellar tumor ARF |
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65 y/o M
presents with postural dizziness and unsteadiness. He has HTN and was started on HCTZ 2 days ago. What is Workup? |
Orthostatic VS
CBC electrolytes BUN/Cr MRI - brain |
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44 y/o F
c/o dizziness on moving her head to the left. She feels that the room is spinning around her head. Tilt test results in nystagmus and nausea. What is Differential? |
Benign positional vertigo
vestibular neuronitis labyrinthitis meniere's |
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44 y/o F
c/o dizziness on moving her head to the left. She feels that the room is spinning around her head. Tilt test results in nystagmus and nausea. What is Workup? |
MRI - brain
audiogram |
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55 y/o F
c/o dizziness that started this morning. She is nauseated and has vomited once in the past day. She had a URI 2 days ago & has experienced no hearing loss. What is Differential? |
Vestibular neuronitis
labyrinthitis meniere's benign positional vertigo vertigo associated with cervical spine disease/injury vertebrobasilar insufficiency |
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55 y/o F
c/o dizziness that started this morning. She is nauseated and has vomited once in the past day. She had a URI 2 days ago & has experienced no hearing loss. What is Workup? |
CBC
electrolytes electronystagmography MRI/MRA - brain |
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55 y/o F
c/o dizziness that started this morning and of "not hearing well." She feels nauseated and has vomited once in the past day. She had a URI 2 days ago. What is Differential? |
Labyrinthitis
vestibular neuronitis meniere's acoustic neuroma vertebrobasilar insufficiency |
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55 y/o F
c/o dizziness that started this morning and of "not hearing well." She feels nauseated and has vomited once in the past day. She had a URI 2 days ago. What is Workup? |
Audiogram
electronystagmograpy MRI/MRA - brain |