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mahwishSend an Instant Message to mahwish  




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Quick Scroll OSCE -Buster: Vertigo Examination 06.26.05 (3 years ago) #1

good morning i am dr xyz
one of the drs around i gather from ur notes that u r having problemi of dizziness..is that right,,,well ill then examine u to establish a cause,,,..please bear with me for awhile,,,,,,,,i wont be long,,,i m going 2 ensure ur privacy and ask 4 a chaperone....

d/ds for vertigo
meneire diease
vestibular neuroniti
acoustic neuroma
cerebella dysfunction
cervical spondylosis
NOW THE EXAMINATION
(A)CHECK FOR AC,NUROMA....BY CHECKING CRANIAL NERVES,,5, 7, 9 ,10,
(B)FOR MENEIRRES,,,CHECK DEAFNESS..8TH CRANIAL NERVE..
(C)CEREBELLUM DYSF,,,,CHECK HEAD TO TOE,,,AS FOLLOWS
1)SPEECH,,,SAY "BRITISH CONSTITUTION"
2)FINGER NOSE TEST
3)RAPID ALTERNATING MOVTS,(TAP TEST)
4)HEEL SHIN TEST
5)GAIT
6}TANDEM WALKING
7) PRONATAR DRIFT,
(D)CERVICAL SPONDYLOSIS.......CAN U MOVER UR NECK LIKE ME ROTATE IN ALL DIRECTIONS...EE FOR WINCING,,, NSTAY CLOSE IN CASE PT MAY FALL,



THANKU I DEALL ISD LIKE TO EXAMINE BP AND CVS A THE CAUSE COOD BE POSSTURAL DIZZINESS

THANKU ANYWAYS......I THINK THE PT HAS,,,,,,,,,,,,,!!!
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Quick Scroll 06.27.05 (3 years ago) #2

thanks
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mahwishSend an Instant Message to mahwish  




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Quick Scroll y 5 7 9 10 nerves 06.27.05 (3 years ago) #3

can u tell y 5 7 9 1o nerves,,,,,,,,,,,???the rest is gr8 stuff......!!!thanx
can u elaborate wat qs to pose in vertigo h/o taking .........!!!
ill be obliged
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Quick Scroll 07.04.05 (3 years ago) #4

looks nice...thanx
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Quick Scroll 07.06.05 (3 years ago) #5

we check 5-10 nerves because these are affected in Acoustic Neuroma.
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Quick Scroll 10.20.06 (1 year ago) #6

Thanks Mahwish,
I suppose, you missed Nystagmus which is part of Cerebeller Examination. Cheers
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Quick Scroll 07.22.07 (1 year ago) #7

Another question arises here
Should we ask one or two questions for each of specific causes of vertigo such as air pain or tinnitus (for causes related to ear)? before actual exam?
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Quick Scroll 04.16.08 (5 months ago) #8

nice try.........but y r u asking for chaperone.i think there is no need of asking for privacy in dis case...
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