Dizziness

Dizziness

Inner ear problem
1. Meniere's
  1. (1) Episodic vertigo lasting 1-2 hrs (2) accompanied with hearing loss (3) Ear fullness ---------------- + Rinne (ac>bc), Weber no lateralization, Unilateral Dec. Hearing acuity
    1. Audiometry, VDRL/RPR, MRI - Brain
2. Benign positional vertigo
  1. (1) Onset with positional changes (2) Sensation of room spinning; vertigo (3) lasting 20 - 30 min (4) no hearing loss
    1. Dix-Hallpike maneuver, Audiogram
3. Labrynthitis
  1. (1) Hx of URI (2) Hearing loss (3) Spinning room; Vertigo (4) N/V
    1. Audiogram, Electronystagmography
CN IIIV problem
1. Acoustic neuroma
2. Vestibular neuronitis
  1. (1) Hx of URI (2) No hearing loss (3) Vertigo (4) N/V
    1. CBC, Electrolytes, Electronystagmography
Brain Hypoperfusion
1. Vertebrobasilar insufficiency
2. Vertigo associated with cervical spine disease or injury
3. Orthostatic Hypotension
  1. (1) lightheadedness, unsteadiness (2) Postural (3) Diuretics (4) Diarrhea
    1. Orthostatic VS, CBC, Electrolytes
4. Arrhythmia
  1. (1) Palpitations (2) Hx of heart disease (3) sudden nonpostural lightheadedness
    1. ECG, Holter
5. Anemia
  1. (1) Lightheadedness (2) Hemorrhage -menses, GI- (3) SOB
    1. CBC, Peripheral blood smear, Retic count, FOB
Brain injury
1. Brain Stem or cerebellar tumor

Resumen del Recurso

	Creado por Anas Alrefaee hace más de 8 años