Page 122 - 2021 IDMT Digital
P. 122
VERTIGO
Introduction:
• &DQ EH FDXVHG E\ HLWKHU D SHULSKHUDO RU FHQWUDO HWLRORJ\ RU ERWK
• &RPPRQ FRPSODLQW WKDW LV GLIILFXOW IRU WKH SDWLHQW WR GHVFULEH
o (LWKHU D VHQVDWLRQ RI PRWLRQ ZKHUH WKHUH LV QR PRWLRQ RU DQ H[DJJHUDWHG VHQVH
RI PRWLRQ LQ UHVSRQVH WR PRYHPHQW
• 'XUDWLRQ RI YHUWLJR HSLVRGHV DQG DVVRFLDWLRQ ZLWK KHDULQJ ORVV LV WKH NH\ WR GLDJQRVLV
Subjective:
• 6LJQV DQG 6\PSWRPV
o ³6SLQQLQJ´ VHQVDWLRQ VHQVH RI WXPEOLQJ RU IDOOLQJ
o 6KRXOG EH GLVWLQJXLVKHG IURP LPEDODQFH OLJKW KHDGHGQHVV DQG V\QFRSH
o 1DXVHD RU YRPLWLQJ LI VHYHUH
• )RFXVHG +LVWRU\
o 3UHFLSLWDWLQJ IDFWRUV PRYHPHQWV SULRU KLVWRU\ GXUDWLRQ RI V\PSWRPV
UHFHQW LOOQHVV HDU SDLQ RU IXOOQHVV HDU WUDXPD ULQJLQJ RU KHDULQJ ORVV
DEQRUPDO JDLW IDOOLQJ
Objective:
• 3K\VLFDO ([DP
o 9LWDOV
3RVLWLYH RUWKRVWDWLF YLWDO VLJQV FRXOG LQGLFDWH GHK\GUDWLRQ
)HYHU PD\ LQGLFDWH HDU LQIHFWLRQ
o +((17 H[DP
o 7XQLQJ IRUN WHVWV
o 1HXURORJLF LI WKHUH LV Q\VWDJPXV RU ZRUVHQLQJ V\PSWRPV ZLWK KHDG RU H\H
PRYHPHQW WKLV LV PRVW LQGLFDWLYH RI SRVLWLRQDO YHUWLJR
• 7RROV
o $XGLRPHWU\ LI KHDULQJ ORVV
Assessment:
• 'LIIHUHQWLDO
o BPPV: acute spinning sensation with head movement lasting less than a minute,
horizontal or rotary nystagmus, no hearing changes. Most common cause.
o 6\VWHPLF PHGLFDWLRQV K\SRWHQVLRQ LQIHFWLRQ YLWDOV DQG KLVWRU\ ZLOO EH DEQRUPDO
o 0pQLqUH¶V HSLVRGLF YHUWLJR ZLWK IOXFWXDWLQJ VHQVRULQHXUDO KHDULQJ ORVV DQG DXUDO
SUHVVXUH
o /DE\ULQWKLWLV DFXWH FRQWLQXRXV VHYHUH YHUWLJR ODVWLQJ VHYHUDO GD\V WR D ZHHN
KHDULQJ ORVV DQG WLQQLWXV
[ 121 ]
