Dizziness is one of the highly tested conditions that is tested on USMLE step 2 CS since it is very common and has many different etiologies. 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.
- 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, DTRs, Gait, Romberg test, Dix-Hallpike Maneuver.
Ask the patient whether they experienced Vertigo “sensation of room spinning” or Lightheadedness.
- Ménière disease (Vertigo, Tinnitus, Hearing loss)
- Orthostatic hypotension due to dehydration (Diarrhea, Vomiting or Diuretic use. “Presents with lightheadedness not vertigo)
- Benign paroxysmal positional vertigo (Dizziness on changing position and Nystagmus)
- Labyrinthitis (Recent URI, Hearing loss, Vertigo)
- Vestibular neuronitis (Recent URI, NO hearing loss)
- Dix-Hallpike Maneuver
- VDRL/RPR (to r/o syphilis associated with Ménière disease)
- Tilt table test
- MRI of brain,
- Brain stem auditory evoked potentials
Click on the Image below if you are having trouble with your Time Management:
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