iHuman Case Study: Sheila Davis – A 52-Year-Old Female with Hypertension Presenting with Acute Recurrent Positional Vertigo Secondary to Right Posterior Semicircular Canal BPPV

iHuman Case Study: Sheila Davis – A 52-Year-Old Female with
Hypertension Presenting with Acute Recurrent Positional Vertigo
Secondary to Right Posterior Semicircular Canal BPPV

,Characteristic Detail

Name Sheila Davis

Age 52 years

Sex Female

Ethnicity African American

Height 5'5" (165 cm)

, Characteristic Detail

Weight 178 lb (80.7 kg)

BMI 29.6 (overweight)

Occupation Administrative assistant

Setting Outpatient primary care clinic

Source of Information Patient



CHIEF COMPLAINT
"I've been feeling dizzy and lightheaded for the past few days. It feels like the room is
spinning, and I'm afraid I might fall."


HISTORY OF PRESENT ILLNESS (HPI)
OLDCARTS Framework:


Component Details

Onset Started 4 days ago; acute onset, no preceding illness or trauma

Location Sensation of spinning/rotating (true rotational vertigo), perceived in the head

Episodic; 3–4 episodes per day, each lasting 5–30 minutes; some episodes lasting
Duration
to several hours

"Room-spinning" vertigo; patient describes it as if the room is tilting and spinnin
Character/Quality
around her

Turning head (especially to the right), rolling over in bed, looking upward, quick
Aggravating Factors
head movements

Remaining perfectly still, lying down with head elevated, avoiding provocative he
Relieving Factors
positions