For Internists and Primary care physicians

2. Equilibrium (balance) Disorders Ahmed Elshebiny University of Menoufyia

6. Hematological findings

7. Coagulation

11. Temporal artery biopsy

13. Autopsy

22. Vertigo Vertigo physiologic pathologic Peripheral Central Benign positional Menere VN Otosclerosis Acute Chronis CPA tumor Toxic vestibulopathy Acoustic neuropathy

23. Peripheral or Central? Extremely common(….) None Associated CNS abnormalities Usually absent Often present Tennitus/deafness No inhibition Inhibits nystagmus and vertigo Visual fixation May be vertical Never vertical or torsional Nystagmus Often mild Marked Severity Central Peripheral Sign&Symp

41. THANK YOU