The Dizzy Patient

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The Dizzy Patient

• Dr. Alan Maxwell

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CASES

• Case 1
• At 430 p.m., after a long day, your nurse tells
  you the next patient is an 80 year old woman with
  dizziness
• Case 2
• A 30 year old man presents with dizziness. He
  was treated for a URI one week ago.
• Case 3
• A 15 year old girl is sent to the office by the
  school nurse after a bad dizzy spell.
• Case 4
• A 25 year old woman states I feel dizzy all the
  time.

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Case 1

• At 430 p.m., after a long day, your
• nurse tells you the next patient is an 80
• year old woman with dizziness.
• FP-Tell me what it feels like.
• Pt-I feel out of balance-sometimes I think I
  might fall.

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Case 2

• A 30 year old man presents with
• dizziness. He was treated for a URI one
• week ago.
• FP-Tell me what it feels like.
• Pt-The room is spinning.

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Case 3

• A 15 year old girl is sent to the office by
• the school nurse after a bad dizzy spell.
• FP-Tell me what it feels like.
• Pt-I got sick. I had to sit on the floor.

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Case 4

• A 25 year old woman states I feel dizzy
• all the time.
• FP-Tell me what it feels like.
• Pt-Im just dizzy. Dizzy all the time.

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The Dizzy Patient
Dysequilibrium Vertigo Near- Syncope Light
Headedness
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Dysequilibrium
Multiple Sensory Deficits Neurodegenerative
Disease Orthostasis
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Vertigo
BPV Acute Labyrinthitis Central Vertigo
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Near Syncope
Vasovagal Orthostasis Valsalva
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Light Headed
Psychogenic Anxiety Depression Hyperventila
tion
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TESTS
Romberg Hyperventilation Proper BP -Lying and
Standing Dix-Halpike
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Questions or Comments