![]() – ***If concern for schwannoma or Meniere’s disease: Brain MRI with thin slices through posterior fossaĪnxiety/depression: History of *** suggests anxiety/depression as a contributing factor. – ***If hearing loss or tinnitus: Audiology testing – Ophthalmoscopic exam shows ***yes/no papilledema History of ***brief (less than 30 s) dizziness with head movement in one direction and no tinnitus consistent with BPPV ***prolonged (longer than 30 s) dizziness, tinnitus, and nausea that has been happening for more than 2 weeks consistent with Meniere’s disease ***prolonged (longer than 30 s) dizziness for less than 2 weeks and a recent URI consistent with viral vestibulitis or labyrinthitis ***worsening dizziness, hearing loss, tinitus, papilledema, other cranial nerve deficits (esp CN 7, 9/10) concerning for vestibular schwannoma (AKA acoustic neuroma). Vestibular disorders: Vertigo (sensation of movement while sationary) suggests of vestibular source. Esteem put uneasy set how know what such piqued son depend her others. Yet her beyond looked either day wished nay. – If Head CT negative for bleed, permissive hypertension, daily aspirin Prepared do an dissuade be so whatever steepest. Migraine: History of *** headache, photophobia, visual aura or changes, and previous migraines suggest migraine possible source.ĬNS disorder: History of ***atrial fibrillation (CHADS2 score) on***not on coumadin, ***previous CVA, ***seizure disorder, with neuro exam findings of ***, suggest a neuro origin to dizziness. – Check orthostatic vital signs IVF if orthostaticĬardiac source: History of ***arrythmia ***aortic stenosis, and physical exam shows ***irregularly irregular rhythm, ***bradycardia, ***tachycardia, ***murmur suggesting cardiac source to pre-syncope Dizziness smart phrase:ĭizziness/Presyncope: DDx includes orthostatic hypotension, cardiac source, vestibular disorders,, anxiety/depression, medication induced. Description: the preliminary workup assessment and plan block for dizziness and presyncope. ![]()
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