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Vertigo / Dizziness

Differences between the two

Dizziness and vertigo differ in several ways. Describe dizziness. faintness, a feeling of impending syncope light-headedness, feeling of imbalance/unsteadiness. A vague spaced out or swimmy-headed feeling.
Vertigo can be described as the following. False sense of movement of self or environment. Usually rotary-a spinning or wheeling sensation, sometimes pulled to 1 side
Symptoms that can accompany dizziness/vertigo include the following: Nausea/vomiting or difficulty with balance may be disturbing/incapacitating can be a problem with dangerous tasks dizziness accounts for 5-6% of o.p. visits may be temporary or chronic
What is the definition of chronic dizziness? dizziness lasting more than 1 month and more common in elderly
True or False: Dizziness may occur at any age but is more common in the 30-40 y/o group? False. More common in elderly
What percentage of dizziness is caused by a serious disorder? 5%
What are the most common causes of dizziness WITH vertigo? Benign positional vertigo Meniere's Disease Vestibular neuronitis labyinthitis
What are the most common causes of dizziness WITHOUT vertigo? Less clear cut but usually not otologic drug effects multifactoral or idiopathic
Neurologic disorders with more global effect manifest as dizziness but rarely as vertigo. The elderly often multifactorial secondary to drug effects, decreased vision & auditory, and proprioception. 1. hypotension 7. depression 2. hypoxemia 8. anemia 3. hypoglycemia 4. hormonal changes 5.CNS Active drugs 6. psychogeic-panic disorder
The 2 most common specific causes are inner ear disorders. What are they called? 1. Benign Paroxysmal Positional Vertigo 2. Meniere's Disease
When taking the HPI, the information needed includes: sensations felt, use open ended questions to have patient describe what THEY think dizziness is. Brief specific questioning that address whether the feeling is light-headedness, loss of balance or feeling, etc...
What are some of the red flags regarding dizziness/vertigo? head or neck pain ataxia loss of consciousness focal neurologic deficit severe, continuous symptoms for >1hr.
When would MRI testing be appropriate? 1. chronic symptoms to look for evidence of stroke, MS, or other CNS lesions 2. for acute symptoms who have headaches, neurologic abnormalities, or any other findings suggestive of a CNS etiology
What is the treatment for dizziness/vertigo? Treatment is directed at the cause, including stopping, reducing, or switching any causative drugs.
Name some geriatric special considerations in regards to dizziness/vertigo. 1. aging decreases balance function 2. older people more likely to have disorders that contribute to dizziness 3. more likely to be polypharmacy related 4. increased fall risk
When would immediate neuroimaging be considered? When symptoms are accompanied by headache, focal neurologic abnormalities, or both
Created by: MissyGirl3971