The Dizzy Patient Part II

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The Dizzy PatientPart II

• Dr. Alan Maxwell

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• Establish a pathway (hypothesis)
• Than
• Physical Exam
• Plus
• Dizziness Test
• Often lead to
• Diagnosis (s).

Diagnosis (s).
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MSD

• Efferent ARC
• ?Vision
• ?Proprid
• ?Vestibular
• Integrative MCCH
• ?SC
• ?Cortex Cerab
• Afferent ANC
• ?MUSC
• ?Joint Corrdination

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Worrisome Dxs

• ?Acoustic
• ?Pressure?Syncope
• ?caroiac, seizures
• ?sudden savcre vertigo, ataxia
• ?Intracerebellar hemorrage
• ?MS

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Vertigo Hearing Loss

• ?Menicres
• ?Acoustil Neubrra
• ?SNS
• ?Retrocochlear on Andiouerry

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TESTS

• ?Finger Rub-25 decibles
• ?Rinne Test
• ?bone or air
• ?Audiometary
• ?Cochlear
• ?Retrocochlear

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Syncope(Worrisome Hx, Signs)

• ?No Warning
• ?Elderly
• ?Hx CV Disease
• ?Recumbent
• ?Exertional
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• ?Seizure Activity
• ?Cyanotic
• ?Persistent Hypotension
• ??? HR