Dizziness/Vertigo (780.4)
Benign Paroxysmal Positional Vertigo (BPPV)
SX â vertigo (elicited by specific head movements), dizziness, n/v, nystagmus, ataxia
Meniere â hearing loss, vertigo, tinnitus
PE â
CN exam, CN 8 audiology
Dix-Hallpike maneuver (shows classic rotatory nystagmus, positive for BPPV)
CT Scan of Head - to rule out any abnormal growth
Next Steps
DX â ⢠CT, MRI (CN 8)
Health Tips
TX â check meds, decrease Sodium (salt) in diet. Meclizine 25-100 mg/day PO divided BID-TID. Diazepam 2-10 mg PO Q4-8 hrs PRN. Anti-emetic: Promethazine 12.5 - 25 mg PO Q4-6 hours. Scopolamine transdermal patch for motion sickness prevention q3 days PRN.