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Vertigo/Dizziness, Which of the following is not a cause of dizziness? -…

- - - - caused by endolymphatic hydrops of inner ear
- - - - Hearing loss (triad for vestibular problems)
    - - Depression
        Anxiety
- - - - 8th cranial nerve
        
        Function= balance & equilibrium and also hearing
      - Vestibular nuclei in brain stem & cerebellum
      - Inner ear
    - - otitis media
      - BPPV
      - Sinus infection
      - cerumen impaction
    - - CVA/TIA
      - Tumor
      - Head Trauma
      - orthostatic hypotension
- - - - adverse effects
        
        Dry mouth
        
        Dilated pupils
        
        Sedation
- - - - Romberg
- - - - Your doctor will treat the cause
        
        medications
        
        many of these meds make you sleepy, so do not drive
        
        vestibular rehab
        
        maneuvers in the office
        
        exercises at home
        
        surgery
        
        low sodium can help meniere's
      - many causes that range from benign to more severe, like a tumor or stroke
      - Testing or imaging may be required to diagnose
  - - - Unremitting headache with nausea
- - - - Ophthalmic
      - Cardiac
      - Otic
      - Nasal
      - Oropharyngeal
      - Dix Hallpike
    - - Helps identify etiology ie central versus peirpheral
        
        use medical history questions
  - - - Holter & event monitors
      - Echo
      - Stress test
      - Tilt tables
      - Electrophysiologic studies
  - - - Identify Etiology
    - - Epley Manuever
        
        BPPV
      - Pharmacotherapeutics
      - Vestibular therapy
        
        Physical therapy for patients with permanent unilateral or bilateral vestibular hypofunction
        
        Consists of balance exercises
      - Surgery
      - Dizzy clinics
      - Lifestyle changes
    - - New meds at onset of symptoms?
- - - - Spontaneous nystagmus for >48 hours
  - - - Unilateral tinnitus, hearing loss, or otorrhoea
- - - - Yoga or tai chi
        
        Help relieve stress & improve balance
    - - Some dizziness/vertigo are associated with depression and anxiety
  - - - Significant immediate effect in reducing heart rate, dizziness, and vertigo
    - - Linggui Zhugan Decoction
        
        Used by doctors to resolve fluid retention, and clear away dampness
        
        Helps treat peripheral vertigo
      - Tuina
        
        Used for cervical vertigo
  - - - Informing the patient they are more prone to getting dizziness/vertigo if some family members have a history of certain illnesses (i.e. Meniere’s)
  - - - allergies can cause symptoms
  - - - Medication management
      - Lifestyle changes
      - Exercises
      - Attend Vestibular and/or CBT appointments
      - Attend consults
      - Don't drive if active symptoms
    - - assist patient during times of dizziness
      - monitor their safety when dizzy
      - assist with medications as needed
      - provide mental health/emotional support
      - education on the genetics with meniere's
    - - provide support for transportation when dizzy
      - support group for others who suffer
- - - - https://www.uptodate.com/contents/evaluation-of-the-patient-with-vertigo?search=vertigo&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=1
    - - https://www.uptodate.com/contents/causes-of-vertigo?search=vertigo&source=search_result&selectedTitle=4~150&usage_type=default&display_rank=4
    - - https://www.uptodate.com/contents/treatment-of-vertigo?search=vertigo&source=search_result&selectedTitle=3~150&usage_type=default&display_rank=2
    - - https://www.uptodate.com/contents/approach-to-the-patient-with-dizziness?search=vertigo&source=search_result&selectedTitle=7~150&usage_type=default&display_rank=8
    - - https://www.uptodate.com/contents/benign-paroxysmal-positional-vertigo?search=vertigo&source=search_result&selectedTitle=6~150&usage_type=default&display_rank=7
    - - https://www.uptodate.com/contents/vestibular-neuritis-and-labyrinthitis?search=vertigo&source=search_result&selectedTitle=9~150&usage_type=default&display_rank=10
    - - https://www.uptodate.com/contents/panic-disorder-in-adults-epidemiology-clinical-manifestations-and-diagnosis?search=dizziness&source=search_result&selectedTitle=13~150&usage_type=default&display_rank=13
    - - https://www.uptodate.com/contents/postconcussion-syndrome?search=dizziness&source=search_result&selectedTitle=9~150&usage_type=default&display_rank=9
    - - https://www.uptodate.com/contents/meniere-disease-evaluation-diagnosis-and-management?search=meniere%20disease%20treatment&source=search_result&selectedTitle=1~44&usage_type=default&display_rank=1#H3711595859
- - - - https://www.mayoclinic.org/diseases-conditions/dizziness/diagnosis-treatment/drc-20371792
    - - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5802993/