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'''For patient information click [[Dizziness (patient information)|here]]'''
 
{{Dizziness}}
{{Dizziness}}
{{CMG}};{{AE}} {{MUT}}
{{CMG}}; {{AE}}{{MUT}}; [[User:Vendhan Ramanujam|Vendhan Ramanujam M.B.B.S]]; {{Norina Usman}}
 
{{SK}} Disorientation; dizzy; floating; giddiness; giddy; reeling; spaced out; swimmy; weak at the knees; wobbliness; wooziness
 
==Overview==
Dizziness is a common but vague symptom.  A wide variety of symptoms are often referred to as dizziness.
 
==Differential Diagnosis of Dizziness==
The first step in the assessment of dizziness is to determine through a focused history with greater specificity the precise symptoms the patient is experiencing.  The following links direct you to the appropriate chapter based upon the patient's precise symptoms:


==Presyncope==
{{SK}}  Disequilibrium; Vertigo; Unsteadiness; Lightheadedness; Disorientation in space; dizzy; floating; giddiness; giddy; reeling; spaced out; swimmy; weak at the knees; wobbliness; wooziness
====Synonyms or Words Used to Describe Presyncope====
Synonyms and symptoms used to describe [[presyncope]] include:
:*[[Faintness]]
:*[[Generalized weakness]]
:*[[Lightheadedness]]
:*[[Near blackout]]
:*[[Near fainting]]
:*[[Near syncope]]


====Other Secondary Symptoms Associated With Presyncope====
==[[Dizziness overview|Overview]]==
[[Presyncope]] is a transient and episodic [[prodrome]]. The other symptoms which usually accompany this [[prodrome]] include:
:*[[Blurring of vision]]
:*[[Diaphoresis]]
:*[[Feeling of warmth]]
:*[[Nausea]]
:*[[Pallor]]
:*[[Palpitations]]
:*[[Paresthesia]]


==Vertigo==
==[[Dizziness historical perspective|Historical Perspective]]==
====Synonyms or Words Used to Describe Vertigo====
Synonyms and symptoms used to describe [[vertigo]] include:
:*[[Disorientation]]
:*[[Moving]]
:*[[Spinning]]
:*[[Swaying]]
:*[[Tilting]]
:*[[Vague dizziness]]
:*[[Whirling]]


====Other Secondary Symptoms Associated With Vertigo====
==[[Dizziness classification|Classification]]==
[[Vertigo]] is a transient and episodic [[perception of false sensation]] of motion. While the most common motion is a spinning sensation of either the surrounding environment or a self motion, the other symptoms which usually accompany this [[perception of false sensation]] include:
:*[[Diaphoresis]]
:*[[Imbalance]]
:*[[Nausea]]
:*[[Pallor]]
:*[[Tachycardia]]
:*[[Vomiting]]


==Disequilibrium==
==[[Dizziness pathophysiology|Pathophysiology]]==
====Synonyms or Words Used to Describe Disequilibrium====
Synonyms and symptoms used to describe [[disequilibrium]] include:
:*[[Bad balance]]
:*[[Chronic dizziness]]
:*[[Imbalance]]
:*[[Instability]]
:*[[Loss of balance]]
:*[[Off balance]]
:*[[Unsteadiness]]
 
====Other Secondary Symptoms Associated With Disequilibrium====
[[Disequilibrium]] is a continuous rather than an episodic symptom characterized by an impaired sense or absence of balance that primarily occurs during standing or walking and usually without any cephalic sensations like headache, nausea and vomiting. The other symptoms which usually accompany [[disequilibrium]] include:
:*[[Gait abnormality]]
:*[[Muscle weakness]]
:*[[Numbness]]
:*[[Movement incoordination]]
:*[[Nystagmus]]
:*[[Visual impairment]]
 
==Psychogenic dizziness==
====Synonyms or Words Used to Describe Psychogenic dizziness====
Synonyms and symptoms used to describe [[psychogenic dizziness]] include:
:*[[Functional dizziness]]
:*[[Hyperventilation syndrome]]
:*[[Nonspecific dizziness]]
:*[[Phobic postural vertigo]]
:*[[Psychiatric dizziness]]
:*[[Psychic dizziness]]
:*[[Psychophysiologic dizziness]]
:*[[Somatization]]
 
====Other Secondary Symptoms Associated With Psychogenic dizziness====
[[Psychogenic dizziness]] is a dizziness which is not characterized by true vertigo and it can be replicated by hyperventilation and psychiatric symptoms that precede its onset. It occurs in anxious or phobic individuals and do not include any specific symptoms.
 
==[[Dizziness overview| Dizziness overview]]==
__NOTOC__
{{SI}}
{{CMG}}; {{VR}}
 
==Overview==
Dizziness is a common but vague symptom.  A wide variety of symptoms are often referred to as dizziness.
 
==Causes==
Dizziness is the most common nonpain symptom following fatigue in clinic and community populations<ref name="Kroenke-1990">{{Cite journal  | last1 = Kroenke | first1 = K. | last2 = Arrington | first2 = ME. | last3 = Mangelsdorff | first3 = AD. | title = The prevalence of symptoms in medical outpatients and the adequacy of therapy. | journal = Arch Intern Med | volume = 150 | issue = 8 | pages = 1685-9 | month = Aug | year = 1990 | doi =  | PMID = 2383163 }}</ref>. It is also one of the most common complaints in ambulatory care, accounting for nearly 8 million outpatient visits annually in the United States<ref name="Sloane-">{{Cite journal  | last1 = Sloane | first1 = PD. | last2 = Dallara | first2 = J. | last3 = Roach | first3 = C. | last4 = Bailey | first4 = KE. | last5 = Mitchell | first5 = M. | last6 = McNutt | first6 = R. | title = Management of dizziness in primary care. | journal = J Am Board Fam Pract | volume = 7 | issue = 1 | pages = 1-8 | month =  | year =  | doi =  | PMID = 8135132 }}</ref>. Being a vague term, it includes several causes from various sensations like [[vertigo]], [[presyncope]], [[disequilibrium]] and [[psychogenic dizziness]].
 
== References ==
{{Reflist|2}}
 
[[Category:Neurology]]
[[Category:Otolaryngology]]
[[Category:Primary care]]
[[Category:Emergency medicine]]
 
{{WH}}
{{WS}}
 
==[[Dizziness definition|Definition]]==


==[[Dizziness causes|Causes]]==
==[[Dizziness causes|Causes]]==


==[[Dizziness differential diagnosis|Differentiating Dizziness from other Diseases]]==
==[[Dizziness differential diagnosis|Differentiating Dizziness from other Diseases]]==
==[[Dizziness epidemiology and demographics|Epidemiology and Demographics]]==


==[[Dizziness risk factors|Risk Factors]]==
==[[Dizziness risk factors|Risk Factors]]==
==[[Dizziness screening|Screening]]==


==[[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]]
 
==Case Studies==
[[Dizziness case study one|Case #1]]


[[Category:Neurology]]
[[Category:Neurology]]
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[[Category:Symptoms]]
[[Category:Symptoms]]
[[Category:Signs and symptoms]]
[[Category:Signs and symptoms]]
[[Category:Primary care]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
{{WH}}
{{WS}}

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

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CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Dizziness

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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