父母教养方式量表(EMBU)CreateTim

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1、VERTIGOAYESHASHAIKHPGY2EMORYFAMILYMEDICINE09.17.2008CASE31,femaledoctor,otherwisehealthy,postpartumweek5.Firstepisode,suddenfeelingofroomspinning,whileenteringpatientdataincomputer,duringFamilyMedicineClinic…Onefinedaylastyearsametime!DIZZINESSVertigoLightheadednessPresyncopeDy

2、s-equilibriumVERTIGOFALSESENSEOFMOTION,usuallyrotational.2TYPES1-CENTERALVESTIBULARCAUSES(Brainstemorcerebellum)2-PERIPHERALVESTIBULARCAUSES(Labyrinthorvestibularnerve)CAUSESOFVERTIGOCENTRALCerebellopontineangletumorCerebrovasculardiseaseMigraineMultiplesclerosisPERIPHERALAcute

3、labrynthitisVestibularneuritisBPPVCholestotomaMenier’sdiseaseOstosclerosisPerilymphaticfistulaCauses..DrugsAlcoholAminoglycosidesAnticonvulsantsAntidepressantsAntihypertensivesBarbituratesCocaine(SlowlyprogressiveUnilateral/Bilateral)HistoryTimingsDurationProvoking,aggreviating

4、factorsAssociatedsymptomsRiskfactorsforCardiovasculardiseaseQ:Whenyouhavedizzyspells,doyoufeellightheadedordoyouseetheworldspinaroundyou?Q:DurationofVertigoandassociatedsymptoms?(differentiateperipheralvscentralcauses)TypicalDurationofSymptomsforDifferentCausesofVertigoDuration

5、ofepisodeSuggesteddiagnosisAfewsecondsPeripheralcause:unilaterallossofvestibularfunction;latestagesofacutevestibularneuronitis;latestagesofMénière'sdiseaseSeveralsecondstoafewminutesBenignparoxysmalpositionalvertigo;perilymphaticfistulaSeveralminutestoonehourPosteriortransienti

6、schemicattack;perilymphaticfistulaHoursMénière'sdisease;perilymphaticfistulafromtraumaorsurgery;migraine;acousticneuromaDaysEarlyacutevestibularneuronitis*;stroke;migraine;multiplesclerosisWeeksPsychogenic(constantvertigolastingweekswithoutimprovement)*-Vertigowithearlyacuteves

7、tibularneuritiscanlastasbrieflyastwodaysoraslongasoneweekormore.Informationfromreferences3,6,and12.ProvokingFactorsforDifferentCausesofVertigoProvokingfactorSuggesteddiagnosisChangesinheadpositionAcutelabyrinthitis;benignpositionalparoxysmalvertigo;cerebellopontineangletumor;mu

8、ltiplesclerosis;perilymphaticfistulaSpontaneousepisode