Dizziness: Difference between revisions

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__NOTOC__
__NOTOC__
'''For patient information click [[Dizziness (patient information)|here]]'''
 
{{Dizziness}}
{{Dizziness}}
{{CMG}}; {{AE}} {{MUT}}; [[User:Vendhan Ramanujam|Vendhan Ramanujam M.B.B.S]]; {{Norina Usman}}
{{CMG}}; {{AE}}{{MUT}}; [[User:Vendhan Ramanujam|Vendhan Ramanujam M.B.B.S]]; {{Norina Usman}}


{{SK}}  Disequilibrium; Vertigo; Unsteadiness; Lightheadedness; Disorientation in space; dizzy; floating; giddiness; giddy; reeling; spaced out; swimmy; weak at the knees; wobbliness; wooziness
{{SK}}  Disequilibrium; Vertigo; Unsteadiness; Lightheadedness; Disorientation in space; dizzy; floating; giddiness; giddy; reeling; spaced out; swimmy; weak at the knees; wobbliness; wooziness
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==[[Dizziness overview|Overview]]==
==[[Dizziness overview|Overview]]==


==[[Dizziness definition|Definition]]==
==[[Dizziness historical perspective|Historical Perspective]]==
 
==[[Dizziness classification|Classification]]==
 
==[[Dizziness pathophysiology|Pathophysiology]]==


==[[Dizziness causes|Causes]]==
==[[Dizziness causes|Causes]]==
Common causes of dizziness may include<ref name="pmid21570240">{{cite journal| author=Kim AS, Sidney S, Klingman JG, Johnston SC| title=Practice variation in neuroimaging to evaluate dizziness in the ED. | journal=Am J Emerg Med | year= 2012 | volume= 30 | issue= 5 | pages= 665-72 | pmid=21570240 | doi=10.1016/j.ajem.2011.02.038 | pmc=4560264 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21570240  }} </ref><ref name="pmid18460956">{{cite journal| author=Keleş A, Demircan A, Kurtoğlu G| title=Carbon monoxide poisoning: how many patients do we miss? | journal=Eur J Emerg Med | year= 2008 | volume= 15 | issue= 3 | pages= 154-7 | pmid=18460956 | doi=10.1097/MEJ.0b013e3282efd519 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18460956  }} </ref><ref name="pmid23142830">{{cite journal| author=Lempert T, Olesen J, Furman J, Waterston J, Seemungal B, Carey J | display-authors=etal| title=Vestibular migraine: diagnostic criteria. | journal=J Vestib Res | year= 2012 | volume= 22 | issue= 4 | pages= 167-72 | pmid=23142830 | doi=10.3233/VES-2012-0453 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23142830  }} </ref><ref name="pmid8367748">{{cite journal| author=Gilbert VE| title=Immediate orthostatic hypotension: diagnostic value in acutely ill patients. | journal=South Med J | year= 1993 | volume= 86 | issue= 9 | pages= 1028-32 | pmid=8367748 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8367748  }} </ref><ref name="pmid15820968">{{cite journal| author=Lawson J, Johnson I, Bamiou DE, Newton JL| title=Benign paroxysmal positional vertigo: clinical characteristics of dizzy patients referred to a Falls and Syncope Unit. | journal=QJM | year= 2005 | volume= 98 | issue= 5 | pages= 357-64 | pmid=15820968 | doi=10.1093/qjmed/hci057 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15820968  }} </ref><ref name="pmid12369019">{{cite journal| author=Sarasin FP, Louis-Simonet M, Carballo D, Slama S, Junod AF, Unger PF| title=Prevalence of orthostatic hypotension among patients presenting with syncope in the ED. | journal=Am J Emerg Med | year= 2002 | volume= 20 | issue= 6 | pages= 497-501 | pmid=12369019 | doi=10.1053/ajem.2002.34964 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12369019  }} </ref><ref name="pmid26231273">{{cite journal| author=Newman-Toker DE, Edlow JA| title=TiTrATE: A Novel, Evidence-Based Approach to Diagnosing Acute Dizziness and Vertigo. | journal=Neurol Clin | year= 2015 | volume= 33 | issue= 3 | pages= 577-99, viii | pmid=26231273 | doi=10.1016/j.ncl.2015.04.011 | pmc=4522574 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26231273  }} </ref>:
*[[Hypotension]]
*[[Dehydration]]
*[[Hypoglycemia]]
*[[Arrhythmias]]
*[[Stroke]]
*[[Labyrinthitis]]
*[[Meniere's disease]]
===Medications===
* [[Atropine]]
* [[Diphenhydramine]]
* [[Romiplostim]]


==[[Dizziness differential diagnosis|Differentiating Dizziness from other Diseases]]==
==[[Dizziness differential diagnosis|Differentiating Dizziness from other Diseases]]==
[[Vertigo]] | [[Presyncope]] | [[Disequilibrium]] | [[Psychogenic dizziness]]


[[Image:Dizziness.png|550px]]
==[[Dizziness epidemiology and demographics|Epidemiology and Demographics]]==


==[[Dizziness risk factors|Risk Factors]]==
==[[Dizziness risk factors|Risk Factors]]==
Common risk factors in the development of dizziness include<ref name="pmid23385126">{{cite journal| author=Rosin C, Bingisser R| title=[Not Available]. | journal=Ther Umsch | year= 2013 | volume= 70 | issue= 1 | pages= 27-9 | pmid=23385126 | doi=10.1024/0040-5930/a000359 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23385126  }} </ref><ref name="pmid24347974">{{cite journal| author=Chimirri S, Aiello R, Mazzitello C, Mumoli L, Palleria C, Altomonte M | display-authors=etal| title=Vertigo/dizziness as a Drugs' adverse reaction. | journal=J Pharmacol Pharmacother | year= 2013 | volume= 4 | issue= Suppl 1 | pages= S104-9 | pmid=24347974 | doi=10.4103/0976-500X.120969 | pmc=3853661 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24347974  }} </ref><ref name="pmid24057830">{{cite journal| author=Shill HA, Fife TD| title=Causes of imbalance and abnormal gait that may be misdiagnosed. | journal=Semin Neurol | year= 2013 | volume= 33 | issue= 3 | pages= 270-5 | pmid=24057830 | doi=10.1055/s-0033-1354601 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24057830  }} </ref>:
 
* Family history of [[thromboembolic]] factors ([[diabetes]], [[hypertension]], [[high cholesterol]], and [[rheumatic disease]])
==[[Dizziness screening|Screening]]==
* [[Cardiac arrhythmias]]
* [[Stroke]]
* Medication side effect ([[diuretics]], [[antiepileptic]] drugs, [[opioid]]-based [[analgesics]], [[antipsychotic]] drugs, [[antidepressants]], [[antihypertensive]], [[antifungal]], [[lithium]], [[benzodiazepines]], [[antiarrhythmic]], [[antimalarial]] and [[anti-HIV-drugs]].
* [[Multiple sclerosis]]
* [[Seizures]]
* [[Brain tumors]]
* [[Benign positional vertigo]]
* [[Labyrinthitis]]


==[[Dizziness natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
==[[Dizziness natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


==Diagnosis==
==Diagnosis==
[[Dizziness history and symptoms|History and Symptoms]] | [[Dizziness physical examination|Physical Examination]] | [[Dizziness laboratory findings|Laboratory Findings]] | [[Dizziness electrocardiogram|Electrocardiogram]] | [[Dizziness CT|CT]] | [[Dizziness MRI|MRI]] | [[Dizziness echocardiography|Echocardiography]] | [[Dizziness other imaging findings|Other Imaging Findings]] | [[Dizziness other diagnostic studies|Other Diagnostic Studies]]
[[Dizziness diagnostic study of choice|Diagnostic study of choice]] | [[Dizziness history and symptoms|History and Symptoms]] | [[Dizziness physical examination|Physical Examination]] | [[Dizziness laboratory findings|Laboratory Findings]] | [[Dizziness electrocardiogram|Electrocardiogram]] | [[Dizziness x ray|X-Ray Findings]] | [[Dizziness echocardiography and ultrasound|Echocardiography and Ultrasound]] | [[Dizziness CT scan|CT-Scan Findings]] | [[Dizziness MRI|MRI Findings]] | [[Dizziness other imaging findings|Other Imaging Findings]] | [[Dizziness other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
==Treatment==
[[Dizziness medical therapy|Medical Therapy]] | [[Dizziness surgery|Surgery]] | [[Dizziness primary prevention|Primary Prevention]] | [[Dizziness secondary prevention|Secondary Prevention]] | [[Dizziness cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Dizziness future or investigational therapies|Future or Investigational Therapies]]
[[Dizziness medical therapy|Medical Therapy]] | [[Dizziness interventions|Interventions]] | [[Dizziness surgery|Surgery]] | [[Dizziness primary prevention|Primary Prevention]] | [[Dizziness secondary prevention|Secondary Prevention]] | [[Dizziness cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Dizziness future or investigational therapies|Future or Investigational Therapies]]
{{WH}}
 
{{WS}}
==Case Studies==
[[Dizziness case study one|Case #1]]


[[Category:Neurology]]
[[Category:Neurology]]

Latest revision as of 17:23, 24 April 2021


Dizziness Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Dizziness from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Dizziness On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Dizziness

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Dizziness

CDC on Dizziness

Dizziness in the news

Blogs on Dizziness

Directions to Hospitals Treating Dizziness

Risk calculators and risk factors for Dizziness

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M.Umer Tariq [2]; Vendhan Ramanujam M.B.B.S; Norina Usman, M.B.B.S[3]

Synonyms and keywords: Disequilibrium; Vertigo; Unsteadiness; Lightheadedness; Disorientation in space; dizzy; floating; giddiness; giddy; reeling; spaced out; swimmy; weak at the knees; wobbliness; wooziness

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Dizziness from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic study of choice | History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | X-Ray Findings | Echocardiography and Ultrasound | CT-Scan Findings | MRI Findings | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Interventions | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

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