Question

28 yo M is evaluated for a 10 month hx of dizziness. Describes dizziness as a sense of nonvertiginous imbalance and notes that it worsens with personal motion, movement of objects around him, and sitting or standing upright.Concussion without loss of consciousness while playing soccer 10 years ago. Most appropriate management?

Answer 1

The most appropriate management for a 28-year-old male with a 10-month history of dizziness is to assess for benign paroxysmal positional vertigo (BPPV) and treat accordingly.

Step-by-step explanation:

The most appropriate management for a 28-year-old male with a 10-month history of dizziness is to assess for benign paroxysmal positional vertigo (BPPV) and treat accordingly. BPPV occurs when calcium carbonate crystals in the utricle migrate into the semicircular canals, causing dizziness. The symptoms described by the patient, such as worsened dizziness with personal motion and movement of objects around him, are consistent with BPPV. A diagnostic test called the Dix-Hallpike maneuver can confirm the diagnosis, and treatment usually involves a series of physical maneuvers called canalith repositioning procedures to reposition the crystals and alleviate symptoms.