Vertigo Flashcards

1
Q

benign paroxysmal positional vertigo

  • presentation
  • investigation
  • treatment
A

acute and position provoked

hallpike - nystagmus

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2
Q

Labrynthitis

  • presentation
  • investigation
  • treatment
A

Inner ear affected by virus
acute vertigo, tinnitus and hearing loss
wait - vestibular suppressants, anti-emetics, teat if bacterial

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3
Q

Acoustic neuroma

  • presentation
  • investigation
  • treatment
A

Tumour on the vestibular nerve - benign (destroys nerves)

  • progressive symptoms - vertigo and tinnitus, facial/trigeminal dysfunction
  • MRI
  • removal
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4
Q

Meniere’s disease

  • presentation
  • investigation
  • treatment
A

Idiopathic, inner ear membrane rupture

  • progressive tinnitus, hearing loss - fullness of ear
  • periods of better but gets worse generally
  • hearing tests
  • conservative management
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5
Q

Ramsay hunt

  • presentation
  • investigation
  • treatment
A

reactivation of chicken pox in older people - vestibular nerve

  • acute, vesicles along the canal + vertigo, tinnitus, hearing loss
  • clinical
  • corticosteroids and acyclovir
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6
Q

What is the classic history of benign paroxysmal positional vertigo?

A

in bed, wakes up, turns head and everything spins

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