Dizziness resident survival guide: Difference between revisions

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{{familytree/start |summary=PE diagnosis Algorithm.}}  
{{familytree/start |summary=PE diagnosis Algorithm.}}  
{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | A01 |A01= Patient with dizziness}}
{{familytree | | | | | | | | | | | | | | | | | | | | | | | A01 |A01= Patient with dizziness}}
{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |!| }}
{{familytree | | | | | | | | | | | | | | | | | | | | | | | |!| }}
{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | A01 |A01= Presentation periodical or sustained?}}
{{familytree | | | | | | | | | | | | | | | | | | | | | | | A01 |A01= Presentation periodical or sustained?}}
{{familytree | | | | | | | | | | | |,|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|-|.| | | | | | | | | | }}
{{familytree | | | | | | | | | |,|-|-|-|-|-|-|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|-|-|-|-|-|-|.| | | | | | | | | | }}
{{familytree | | | | | | | | | | | F01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | F02 |F01= Periodical|F02= Sustained}}
{{familytree | | | | | | | | | F01 | | | | | | | | | | | | | | | | | | | | | | | | | | F02 |F01= Periodical|F02= Sustained}}
{{familytree/end}}
{{familytree | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | |!| }}
 
{{familytree | | | | | | | | | F01 | | | | | | | | | | | | | | | | | | | | | | | | | | F02 |F01= Provoked or unprovoked?|F02= History of intoxication or trauma, or unknown?}}
==Treatment==
{{familytree | | | |,|-|-|-|-|-|^|-|-|-|-|-|.| | | | | | | | | | | | | | | |,|-|-|-|-|-|^|-|-|-|-|-|.| | | | | | | | | | }}
Shown below is an algorithm summarizing the treatment of <nowiki>[[disease name]]</nowiki> according the the [...] guidelines. {{familytree/start |summary=PE diagnosis Algorithm.}} {{familytree | | | | | | | | A01 |A01= }} {{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }} {{familytree | | | B01 | | | | | | | | B02 | | |B01= |B02= }} {{familytree | | | |!| | | | | | | | | |!| }} {{familytree | | | C01 | | | | | | | | |!| |C01= }} {{familytree | |,|-|^|.| | | | | | | | |!| }} {{familytree | D01 | | D02 | | | | | | D03 |D01= |D02= |D03= }} {{familytree | |!| | | | | | | | | |,|-|^|.| }} {{familytree | E01 | | | | | | | E02 | | | E03 |E01= |E02= |E03= }} {{familytree | | | | | | | | | | |!| | | | |!| }} {{familytree | | | | | | | | | | F01 | | | F02 |F01= |F02= }}{{familytree/end}}
{{familytree | | | F01 | | | | | | | | | | F02 | | | | | | | | | | | | | | F03 | | | | | | | | | | F04 | | |F01= Provoked |F02= Unprovoked |F03= History of intoxication |F04= Unknown }}
{{familytree/end}}  
==Do's==
==Do's==



Revision as of 14:33, 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
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • The content in this section is in bullet points.

References

  1. 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.

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