Dizziness

Description

Step 2 CS CS Mind Map on Dizziness, created by Anas Alrefaee on 29/03/2016.
Anas Alrefaee
Mind Map by Anas Alrefaee, updated more than 1 year ago
Anas Alrefaee
Created by Anas Alrefaee about 8 years ago
95
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Resource summary

Dizziness
  1. 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
        2. Labrynthitis
          1. (1) Hx of URI (2) Hearing loss (3) Spinning room; Vertigo (4) N/V
            1. Audiogram, Electronystagmography
        3. CN IIIV problem
          1. Acoustic neuroma
            1. Vestibular neuronitis
              1. (1) Hx of URI (2) No hearing loss (3) Vertigo (4) N/V
                1. CBC, Electrolytes, Electronystagmography
            2. Brain Hypoperfusion
              1. Vertebrobasilar insufficiency
                1. Vertigo associated with cervical spine disease or injury
                  1. Orthostatic Hypotension
                    1. (1) lightheadedness, unsteadiness (2) Postural (3) Diuretics (4) Diarrhea
                      1. Orthostatic VS, CBC, Electrolytes
                    2. Arrhythmia
                      1. (1) Palpitations (2) Hx of heart disease (3) sudden nonpostural lightheadedness
                        1. ECG, Holter
                      2. Anemia
                        1. (1) Lightheadedness (2) Hemorrhage -menses, GI- (3) SOB
                          1. CBC, Peripheral blood smear, Retic count, FOB
                      3. Brain injury
                        1. Brain Stem or cerebellar tumor
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