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Evaluation of the Dizzy Patient
Test 4 Sem 2
16
Medical
Graduate
02/27/2011

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Cards

Term
How will the patient fall with vertigo?
Definition
opposite direction of perceived movement
Term
What is the most common cause of vertigo?
Definition
Benign paroxysmal positioning vertigo
Term
What is benign paroxysmal positioning vertigo and when does it most commonly occur?
Definition
vertigo w/nystagmus most commonly when turning over in bed
Term
How do you treat benign paroxysmal positioning vertigo?
Definition
reposition otoliths: Hallpike maneuver, Epley maneuver, or Semont maneuver
Term
What is a med that can be sued for chronic vertigo?
Definition
meclizine
Term
What is vestibular neuritis and what is it often associated with?
Definition
severe rotational vertigo often associated with nausea and vomiting

*2nd most common type of vertigo
Term
What is unique about horizontal-torsional nystagmus?
Definition
associated with vestibular neuritis - fast phase toward normal ear
Term
What has the triad of hearing loss, tinnitus, and dizziness?
Definition
Meniere disease
Term
which frequency is commonly affected with meniere disease?
Definition
low-frequency
Term
what is meniere disease?
Definition
accumulation of excessive endolymphatic fluid within the labyrinth
Term
photo postural vertigo is more common in what group of people?
Definition
1) People w/OCD
2) more common after a stressful event/recent illness
Term
which artery is the culprit in vestibular insufficiency?
Definition
anterior inferior cerebellar artery
Term
how does alcohol induce vertigo?
Definition
changes specific gravity of endolymph
Term
which disorder is caused by trauma/barotrauma and frequently is associated with hearing loss?
Definition
perilymphatic fistula
Term
What else can cause dizziness that is more common than brain-related disorders?
Definition
arrhythmias, bradycardia
Term
Where erosive lesions most common with perilymphatic fistulas?
Definition
petrous bone
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