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SKENARIO 2

BLOK THT

STEP 1

1. Romberg test :2. Past pointing test : is a test for deective fungsional of nervus vestibullar.3. Di !allpi"e manuever : is a test for diagnostic manuever used to identif# vertigo.$. %!irling : a sensation in e#es feel circling

STEP 2

1. %!# t!e patient feel di& '!en s!e opened !er e#es or c!ange !er !ead position

and decreased '!en s!e close !er e#es()ecause t!e defect of n. vestibuller* it cause balancing disorder so s!e feel !er !ead

spinning.2. +s t!ere an# relation bet'een age*se*!istor#(3. %!# t!e doctor do supporting eamination ,past pointing test* romberg tes* di

!allpi"e manuever-( +s t!ere an# anot!er eamination(To loo" is t!ere an# p!#sic disorder of t!e patient.t!er eamination : electro nistagmograp!# test* evaleation vestibullar function.

$. %!# '!en s!e feel di& s!e also feel nausea and vomit(Di& occur because of sorotonin elevated.Di& caused b# coordination nervous s#stem disorder* if attac" perip!eral nervous

,faringeal and vagus- it cause nausea and vomit. +f attac" central nervous it can attac"

nausea central in spinal cord.

emetic centre activated "emoreseptor trigger &one* it can cause elevated serotonin*dopaminergic and opiate.

/. +nterprestation of p!#sical eamination in s"enario()P normal* RR normal* Temperatrure normal* pulse rate normal.0#prtension* trauma* or anot!er disorder from balancing s#stem can cause di&. T!e

probabilt# cause of t!e di&&ines 'as from nervous s#stem. )P managed b# cardiovascula

s#stem.. %!# s!e felt !er e#es '!irling '!en s!e lift !eav# goods(. +s t!ere an# correlation bet'een s!e s'eated* nauesea* and vomitted suddenl# 'it

!er di&&ines(

. %!at t!ings t!e probabilit# t!at ma"es patients condition !eavier(4. %!# s!e feel surrounding '!en s!e feel di&(15. %!at is t!e probabilit# cause of t!e s"enario(11. %as increase of intracranial pressure can cause vomit and nausea(

LO

1. Dierential Diagnosis6euritis vestibularis

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)enigna paro#smal positional vertigo7otion sic"ness7enier diseaseEplain '!# (

2. Diagnosis

3. De8nition$. 9lasi8cation/. Etiologi. Epidemiologi. Patogenesis. Pato8siologi4. 9linical manifestation15. Supporting eamination11. 7anagement and t!erap#12. 9omplication13. Prognosis

1$. natom# and 8siolog# of vestibullar s#stem.1/. Discuss all about vertigo please