bioguy
Forum Guru
Topics: 65
Posts: 960
|
For the last 4 days
Question to ask - Is it continuous or intermittent?
so, what condition(s) will have continuous dizziness for 4 days ?
i am guessing ear problems, but what exactly, and how do we rule in/out ear conditions in history.
___________________
??/??/CS pass/??/4USlors/Need Visa - ok, i also need a good USMLE score !
|
| supra
Forum Elite
Topics: 17
Posts: 342
|
we first need 2 ask the SP WHAT HE MEANS BY DIZZINESS, is the room around him/her spinning or the sp himself/herself is spinning.
If the SP says dat the room around him is spinning ,it most probably is vertigo,then ask whether the vertigo gets aggravated with any position,if SP says yes,it is BPV-Benign Postural Vertigo, THEN ask the SP if any accomapanying EAR problems-ear discharge,earache,deafness or tinnitus-(ringing the ears),if SP gives both deafness n tinnitus positive,it is meniere's disease.(TRIAD-deafness ,tinnitus n vertigo).Also ask features of RAISED intracranial pressure like nausea,projectile vomitings,headache,changes in vision ,+ deafness to exclude intracranial tumour-accoustic neuroma.
If the SP says dat the dizziness means dat he/she is moving n not the room around,the cause is mostly cardiac-(any arrythmia,or postural hypotension due 2 drugs or dehydration,)hypoglycemia(insulin,hypoglycemic drugs,starvation).
HOPE DIS HELPS.
|
| bioguy
Forum Guru
Topics: 65
Posts: 960
|
supra wrote: HOPE DIS HELPS.
ABSOLUTELY!!!!!!! thanks so much supra. so is this extension of CK knowledge or is this available in UW or FA for CS.
thanks again.
___________________
??/??/CS pass/??/4USlors/Need Visa - ok, i also need a good USMLE score !
|
| supra
Forum Elite
Topics: 17
Posts: 342
|
i am glad that it helped u. bioguy
|
| bioguy
Forum Guru
Topics: 65
Posts: 960
|
DD for this is MALINGERING 
do we really write this in the pt notes??
isn't every case in CS malingering????????????
___________________
??/??/CS pass/??/4USlors/Need Visa - ok, i also need a good USMLE score !
|
| supra
Forum Elite
Topics: 17
Posts: 342
|
|
| champo
Forum Newbie
Topics: 0
Posts: 13
|
there r 2 types of dizziness .
one is central ..other is peripheral
central dizziness;relates to posterior cranial fossa lesion mostly.[pt complains ,he s spinning]
peripheral; related to ear[room is spinning]
then ear roblems r 2 types.conductive n sensorineural.
conductive;
sudden;cerumem[painless]
suden ;otitis externa n media[painful]
gradual ,middle ear inf comlpications ;like effeusion cholesteetoma,glous tumour etc
sensorineural'
sudden ;perilymphatic fistula ,meineres ds[episodic always]
gradula U/L ,acoustic neuroma
graual B/L ;NOISE N OLDAGE
POSTERIOR CRANIAL FOSSA TMOUR ,WILL BE GRADUAL
TRAUMA CAN BESUEN CAUSE.
|
|
| |
| | | | | | | |
