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| {{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}} |
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| {{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]]== | | ==[[Dizzinessoverview|Overview]]== |
| [[Dizziness]] is a sensation of postural unsteadiness or deceptive motion. It is one of the most communal presenting complaints that accounts for 5% of primary care practice for individuals aged 65 or older. [[Dizziness]] is a nonspecific term mainly used by many people and is classified into different categories: [[vertigo]], [[spinning]], disequilibrium, giddiness, [[presyncope]], [[faintness]], [[lightheadedness]], or feeling woozy.
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| ==[[Dizziness definition|Definition]]== | | ==[[Dizziness historical perspective|Historical Perspective]]== |
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| | ==[[Dizziness classification|Classification]]== |
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| | ==[[Dizziness pathophysiology|Pathophysiology]]== |
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| ==[[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>:
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| *[[Hypotension]]
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| *[[Dehydration]]
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| *[[Hypoglycemia]]
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| *[[Arrhythmias]]
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| *[[Stroke]]
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| *[[Labyrinthitis]]
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| *[[Meniere's disease]]
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| ===Medications===
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| * [[Atropine]]
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| * [[Diphenhydramine]]
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| * [[Romiplostim]]
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| ==[[Dizziness differential diagnosis|Differentiating Dizziness from other Diseases]]== | | ==[[Dizziness differential diagnosis|Differentiating Dizziness from other Diseases]]== |
| [[Vertigo]] | [[Presyncope]] | [[Disequilibrium]] | [[Psychogenic dizziness]]
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| [[Image:Dizziness.png|550px]] | | ==[[Dizziness epidemiology and demographics|Epidemiology and Demographics]]== |
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| ==[[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>:
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| * Family history of [[thromboembolic]] factors ([[diabetes]], [[hypertension]], [[high cholesterol]], and [[rheumatic disease]])
| | ==[[Dizziness screening|Screening]]== |
| * [[Cardiac arrhythmias]]
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| * [[Stroke]]
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| * Medication side effect ([[diuretics]], [[antiepileptic]] drugs, [[opioid]]-based [[analgesics]], [[antipsychotic]] drugs, [[antidepressants]], [[antihypertensive]], [[antifungal]], [[lithium]], [[benzodiazepines]], [[antiarrhythmic]], [[antimalarial]] and [[anti-HIV-drugs]].
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| * [[Multiple sclerosis]]
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| * [[Seizures]]
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| * [[Brain tumors]]
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| * [[Benign positional vertigo]]
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| * [[Labyrinthitis]]
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| ==[[Dizziness natural history, complications and prognosis|Natural History, Complications and Prognosis]]== | | ==[[Dizziness natural history, complications and prognosis|Natural History, Complications and Prognosis]]== |
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| ==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]] |
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| ==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}}
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| {{WS}}
| | ==Case Studies== |
| | [[Dizziness case study one|Case #1]] |
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| [[Category:Neurology]] | | [[Category:Neurology]] |