Dizziness is very high yield and it is commonly tested on USMLE step 2 CS because the underlying etiologies can present in a similar fashion, which makes it confusing and hard to make the correct diagnosis if you’re not asking the right question or doing the right work-up.Fake ID, Are you Having trouble remembering all the important questions to ask during your patient encounter? Then try this Dizziness Mnemonic for USMLE Step 2 CS.
PHYSICAL EXAMINATION Dizziness Mnemonic
NOTE: Make sure to wash your hands or wear gloves before you start physical examination. Make sure to ask for permission before you start each physical exam. Make sure to use proper draping (don’t forget to tie back patient’s gown). Best Fake IDs,Make sure to explain each physical examination in layman’s term to your patient. Do NOT repeat painful maneuvers.
- HEENT: Inspect for Nystagmus, Rinne & Weber test, Whisper test, Otoscopy, Funduscopic exam, Mouth & Throat.
- Cardiovascular: Auscultation
- Pulmonary: Auscultation
- Neuro: Cranial nerves (2-12), Sensation, Motor, Motor, DTRs, Gait, Romberg test, Dix-Hallpike Maneuver.
DIFFERENTIAL DIAGNOSIS Dizziness Mnemonic
Clarify if patient is having Vertigo “sensation of room spinning” or Lightheadedness.
- Ménière disease: associated with Vertigo, Tinnitus, Hearing loss
- Orthostatic hypotension due to dehydration: patient has recent history of diarrhea, vomiting or increased use of diuretic use. [Presents with lightheadedness not vertigo]
- Benign paroxysmal positional vertigo (BPPV): associated with exacerbation of dizziness that is associated with position changes. Patients also have nystagmus.
- Labyrinthitis: history of recent upper respiratory infection. where to get a fake id,Associated with hearing loss and vertigo
- Vestibular neuronitis: history of recent upper respiratory infection, however is NOT associated with hearing loss
DIAGNOSTIC WORK UP Dizziness Mnemonic
- Dix-Hallpike Maneuver
- VDRL/RPR (to rule out syphilis which is associated with Ménière disease)
- Tilt table test
- MRI of brain
- Brain stem auditory evoked potentials
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