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Ataxia

  • Common ddx

    • ear issue (vertigo, tinnitus, hearing loss)
    • BPPV, ear infection, labyrinthitis, meniere's, acoustic neuroma
    • vision issue, strabismus (poor alignment, EOM defect)
    • peripheral neuropathy (numbness, tingling of extremities)
    • medications
  • Don't miss

    • stroke, TIA (acute onset, elderly)
    • CNS issue (headache, papilledema)
    • cerebellar tumor, brain abscess
    • MS (vision loss, other neuro sx)
  • Labs

    • head CT if worried about stroke
    • MRI if worried about tumor or MS
    • EKG, enzymes if acute and elderly
  • Other ddx

    • ALS, myesthenia gravis, CJD, ataxia telangiectasia, freidrich's ataxia, cerebral palsy
  • HPI

    • onset
    • alleviation
    • aggravation
    • quality: vertigo vs dizziness vs instability
    • constant ataxia vs intermittent vs triggered by certain events
    • quantity: able vs unable to go about daily activities
  • ROS

    • trauma, fever, rash
    • headache
    • eye: vision problems
    • ear: vertigo, tinnitus, hearing loss
    • chest pain, dyspnea
    • nausea, vomiting, diarrhea, constipation
    • neuro: headache, numbness, tingling, focal weakness
  • PMH

    • stroke
  • FH

  • SH

  • Meds

    • new meds
  • Allergies

  • Px

    • vitals
    • gen impression
    • Head: trauma
    • eyes: nystagmus, pupils, EOM, visual field
    • ENT: ears
    • cardio
    • pulm
    • abd
    • cerebellar: finger-to-nose, rapid alternative movements, gait
    • neuro: strength, sensation, reflex

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.