If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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ACES for PACES

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 BOF 35
A 45 year old female came to see you because of feeling dizzy with vertigo, all of the followings in her evaluation are wrong, except:
1-the presence of Horner’s syndrome may be of value
2-the absence of nystagmus excludes viral labyrinthitis
3-severe vertigo is in favour central cause rather than peripheral cause of vestibulopathy
4-temporal lobe epilepsy is not a consideration
5-the presence of a co-existent hearing impairment favours a central cause

Answer 1
1-true ,may indicate a brainstem lesion like Wallenberg's lateral medullary syndrome.
2-fasle, a prominent feature
3-fasle, central one is usually mild although it is continuous.
4-fasle, a differential diagnosis if the vertigo is extremely episodic
5-fasle, peripheral, usually internal ear pathology

Revision Tip

Revise vestibular lesions ACES for PACES page 500-501

 

 

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