Dizziness resident survival guide: Difference between revisions
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{{familytree | | | F01 | | | | | | | | | | F02 | | | | | | | | | | | | | | F03 | | | | | | | | | | F04 | | |F01= Provoked |F02= Unprovoked |F03= History of intoxication |F04= Unknown }} | {{familytree | | | F01 | | | | | | | | | | F02 | | | | | | | | | | | | | | F03 | | | | | | | | | | F04 | | |F01= Provoked |F02= Unprovoked |F03= History of intoxication |F04= Unknown }} | ||
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{{familytree | | | F01 | | | | | | | | | | |!| | | | | | | | | | | | | | | |!| | | | | | | | | | | F02 | | |F01= Apply Dix-Hallpike maneuver |F02= Physical examination }} | |||
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==Do's== | ==Do's== | ||
Revision as of 14:51, 19 August 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Moises Romo M.D.
Overview
Dizziness is a complex and subjective complaint that encompasses a wide spectrum of symptomatology.[1] It is one of the most common presenting symptom among patients seen by emergency medical physicians, primary care physicians, neurologists, and otolaryngologists.[1]
Causes
Life Threatening Causes
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated.
- Electrolyte imbalance
- Traumatic brain injury
- Heat stroke
Common Causes
- Hypotension
- Dehydration
- Hypoglycemia
- Arrhythmias
- Stroke
- Labyrinthitis
- Meniere's disease
- BPV
- Medication effects
Diagnosis
Shown below is an algorithm summarizing the diagnosis of dizziness according to the American Academy of Neurology guidelines.
| Patient with dizziness | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Presentation periodical or sustained? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Periodical | Sustained | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Provoked or unprovoked? | History of intoxication or trauma, or unknown? | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Provoked | Unprovoked | History of intoxication | Unknown | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Apply Dix-Hallpike maneuver | Physical examination | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.
References
- ↑ 1.0 1.1 Chan Y (2009). "Differential diagnosis of dizziness". Curr Opin Otolaryngol Head Neck Surg. 17 (3): 200–3. doi:10.1097/MOO.0b013e32832b2594. PMID 19365263.