Dysequilibrium

Aka: Dysequilibrium

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II. Definition

  1. Sensory or motor deficit limiting the ability to maintain upright Posture
  2. Imbalance or falling Sensation provoked by standing or walking

III. Differential Diagnosis

  1. Muscle Weakness
  2. Other causes of Dizziness
    1. Dizziness
    2. Vertigo
    3. Syncope or Presyncope
  3. Mood Disorders
    1. Anxiety Disorders (esp. Panic Disorder)
    2. Major Depression

IV. Precautions

  1. Assess Fall Risk (especially in the elderly)

V. Causes

  1. Motion Sickness
  2. Metabolic disorders
  3. Vision Loss
  4. Peripheral Neuropathy
    1. Decreased Proprioception
      1. Alcoholism
      2. B12 Deficiency
      3. Diabetes Mellitus
    2. Inflammatory
      1. Autoimmune Disease
      2. Tertiary Syphilis

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