Vertigo Case Paper

Patient is a 50-year-old-year-old left-handed white male who presents with his wife for evaluation of multiple symptoms that have been present since an MVA in 02/2013. At that time, he was T. boned and his car was totaled. He has amnesia for the event and is unaware whether or not he hit his head. The airbag did deploy. Afterwards, he was confused and noted significant pain in his neck and upper back. Since then, he has had multiple symptoms. He does have involuntary twitching on the right, more than left, both hands, legs, and sometimes feet. He demonstrates one of these twitches and it looks like a focal myoclonic jerk of a limb. These occur on a daily basis. He also has problems with his left thumb and index finger locking up. When he is fatigued, especially when his neck gets tight, he has some problems with word finding, paraphasic errors, and syntax errors. He did see Anthony P. Knox,

The patient is a 59-year-old right-handed white female who was admitted in June to Portsmouth Regional Hospital for what was determined to be either transient global amnesia or complicated migraine. I did review those notes. She was seen by Galina Simkin, MD. The symptomatology discussed in the H&P is consistent with transient global amnesia. She was having problems asking questions inappropriately, repeating sentences, repeating questions over and over again, and seeming somewhat confused. There were no other neurological symptoms at that time. No evidence for seizure activity. No evidence for stroke. She was brought to the emergency room, where she underwent a CAT scan, which was

The patient is an 85-year-old female who is brought to the ED by her family because of increasing confusion and supposedly she had a degree of altered mental status of two hours previous to presentation. In the ED she is completely worked up. CT shows advanced atrophy with microvascular changes and several lacunar infarcts nothing acute. Specific gravity in the urine reveals her to be markedly dehydrated. She culture completely, started on IV antibiotics, IV fluids and B12. On the day after admission she still presents as persistently confused. She is evaluated by PT. The patient who was formerly ambulating with a walker and allegedly driving a car is unable to be ambulated. Before the history indicates that she has a slow downward

Ms. Castellanos reports she suffers from arthritis, dizziness, and headaches due to a head injury, hypertension, and cataract (both eyes). Client reports she underwent cataract surgery 10/8/15 in the left eye and 10/25/15 in the right eye. Client continues to reports she is currently taking the following medications: Meclizine 25mg, Simvastatin 40 mg, Gabapentin 300mg, Oyster Shell Calcium tab 500-200mg, Omega-3 Ethyl Esters 1mg, Losartan-HCI 100-12.5mgG, Amitiza 24 mg, and Sertraline. Client continues to report she is seen by Dr. Molinas Alveris tel3 718-4264747 located at 9319 Roosevelt Ave Fl 1, Jackson Heights, NY 11372.

Based on the medical report dated 03/25/16, the patient continues to have significant headaches and bilateral neck and shoulder pain. IW has numbness and tingling in both arms with neck pain.

Blood pressure -138/88, HR 71, Lung sounds –clear, temperature 98.8 F, radial pulse and pedal pulses +1 bi-laterally, normoactive bowel sounds. No history of smoking, drugs, alcohol use or diabetes; takes no daily medications. Surgical history: Hernia surgery September 2016 and cataract surgery September 2013. Moderately active, walks every day, sometime incorporating hand weights. Patient presents with minimal trembling unilaterally, (left side) when fingers stretched out, reports movements have been slower than normal. Patient’s wife reports “He’s been eating more slowly and it has been taking longer for him to get dressed in the morning.”. Upon examination it was determined that patient has reduced arm swing, slight stiffness in neck, difficulty rising from sitting position in the chair, masked facial features and deteriorated balance. No signs or symptoms of stroke.

Patient states that she has had no head injuries, past or present. Patient states she has never suffered from vertigo or dizziness. BB states that she rarely suffers from generalized headaches. Patient avoids taking pain relievers of any kind when she does present with head pain.

The Alfred Hitchcock film; Vertigo is a narrative film that is a perfect example of a Hollywood Classical Film. I will be examining the following characteristics of the film Vertigo: 1)individual characters who act as casual agents, the main characters in Vertigo, 2)desire to reach to goals, 3)conflicts, 4)appointments, 5)deadlines, 6)James Stewart’s focus shifts and 7)Kim Novak’s characters drives the action in the film. Most of the film is viewed in the 3rd person, except for the reaction shots (point of view shot) which are seen through the eyes of the main character.(1st person) The film has a strong closure and uses continuity editing(180 degree rule). The stylistic (technical) film form of Vertigo makes the film much more

The patient is a 74-year-old right-handed white female who initially saw Paul R. Cass, DO several years ago. She then saw Douglas Black, MD. His notes were reviewed. She was seen here mainly for CPAP for her obstructive sleep apnea. At that time, she had multiple neurological complaints that were unchanging and nonspecific. She did have an MRI in 2010, which revealed a right cerebellar lacune. A repeat MRI in 2011 revealed age related white matter ischemic disease and the cerebellar lacune was not commented on. She states that she had dizziness years ago at the time that the "slight CVA" of the right cerebellar area was noted. This resolved. In 2000, she was in Florida and had the onset

On 1st August, 2012, the patient appeared to be lethargic, drowsy, tremors noted and had a seizure, he was transferred to MICU after his ammonia level was found to be 383 which were normal at the time of admission, and the Depakote level was also 110 as he received the injection in the morning leading to discontinuation of Depakote and commencement of Fosphenytoin with the improvement in the patient’s clinical status the next day. A stat CT Head was ordered on that day which later came out

The detected cause of the vertigo would determine the line of management. I hope I have answered your question

Patient is a 60-year-old Latin American female, who presents with her husband for evaluation of some spells. She seems to have two different things going on. She did report intermittent episodes of feeling of weakness with blurred vision, diffuse paresthesias and a sensation she is about to pass out or the sensation of before undergoing generalized surgery, feeling like she is being sucked down. There is no loss of consciousness with this. She is unable to give any further history, except these events have been going on for about a month. They are almost daily. She does note they happen after eating, at which point, she will fall asleep easily. Otherwise, she denies any loss of consciousness,

While BPPV may be the most common, Dr. Herman Jenkins, Professor and Chair of the Department of Otolaryngology at the University of Colorado School of Medicine and Health Science Center warns, "It can be many things in the elderly, from loss of function from a viral infection to dislodged crystals in the ear." Since vertigo may be caused by decreased blood flow to the base of the brain, blood clots,

Vertigo is the sensation of motion or spinning while not in motion. Vertigo can cause inner ear disorders and central nervous system disorders. Some symptoms of vertigo are the sensation of moving and spinning, tinnitus; which is ringing in the ears, nausea, disequilibrium; imbalance, clumsiness;and ataxia, or loss of coordination in the muscles. Vertigo and it’s symptoms last depending on cause and may be episodic. Vertigo treatment usually depends on the cause,but here are some treatments they have. Otolith Repositioning, Inner Ear Surgery, Low-Salt Diet, Medications, Vestibular Rehabilitation Therapy, and Treatment of Underlying

Vertigo is a condition that causes everything to start spinning out of nowhere. This is caused by an inner ear condition. If you move so fast a certain way it will cause your body to be off balance which will cause you to feel a spinning sensation. This is caused by the calcium particles in your ears to block the canals. My dad has vertigo and there are sometimes when he has to go to the doctor to get his head shaken. The reason for this is to help get the calcium particles in your ears back on balance. When he first noticed something was wrong was when he moved and he almost fell due to everything spinning. He had almost all of the symptoms of vertigo which are nausea, eye jerking, headache, sweating, and ringing of the ear. Sadly there in