Dr Robin Yeoh, I'm Dizzy Doc - St Anthony's Hospital

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VertigoExamination of the dizzy patientComprehensive history – remember other audiologicalsymptomsExamination –otoscopycranial nervescerebellar functioneye movementstests of posture and gaitthe Dix-Hallpike manoeuvre
VertigoPeripheral causes• Usually short-lived, no more than hours and often witha rotatory element.• May also have hearing loss, tinnitus and otheraudiological symptoms• Includes– Meniere’s disease (endolymphatic hydrops)– Benign Paroxysmal Positional Vertigo (BPPV)– Labyrinthitis/vestibular neuritis– Vestibular neuropathy– Perilymph fistula– Decompensation
Page 1: “I’m dizzy, doctor…”Robin Y
Page 4 and 5: VertigoIncidence of vertigo….40%
Page 6 and 7: VertigoHistory taking• Pattern of
Page 10 and 11: VertigoMeniere’s diseaseA difficu
Page 12 and 13: VertigoBenign Paroxysmal Positional
Page 14 and 15: Commonest causes of “dizziness”
Page 16: Questions?
Page 22 and 23: Vertigo
Page 24 and 25: Female 28 yr old c/o dizziness• Q
Page 26 and 27: Female 28 yr old c/o dizziness (III

Dr Robin Yeoh, I'm Dizzy Doc - St Anthony's Hospital

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