Vertigo history and symptoms: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
Line 6: Line 6:
==History and Symptoms==  
==History and Symptoms==  
'''Important factors in history:'''  
'''Important factors in history:'''  
*'''Confirm true vertigo''':
*'''Confirm true vertigo''':
**True vertigo is described as the room spinning around the patient.<ref name="pmid16445269">{{cite journal| author=Labuguen RH| title=Initial evaluation of vertigo. | journal=Am Fam Physician | year= 2006 | volume= 73 | issue= 2 | pages= 244-51 | pmid=16445269 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16445269  }} </ref>
**True vertigo is described as the room spinning around the patient.<ref name="pmid16445269">{{cite journal| author=Labuguen RH| title=Initial evaluation of vertigo. | journal=Am Fam Physician | year= 2006 | volume= 73 | issue= 2 | pages= 244-51 | pmid=16445269 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16445269  }} </ref>
**Once true vertigo is established next step is to identify if the origin of dysfunction is central or peripheral.<ref name="Baloh2016">{{cite journal|last1=Baloh|first1=Robert W.|title=Differentiating between peripheral and central causes of vertigo|journal=Otolaryngology–Head and Neck Surgery|volume=119|issue=1|year=2016|pages=55–59|issn=0194-5998|doi=10.1016/S0194-5998(98)70173-1}}</ref>
**Once true vertigo is established next step is to identify if the origin of dysfunction is central or peripheral.<ref name="Baloh2016">{{cite journal|last1=Baloh|first1=Robert W.|title=Differentiating between peripheral and central causes of vertigo|journal=Otolaryngology–Head and Neck Surgery|volume=119|issue=1|year=2016|pages=55–59|issn=0194-5998|doi=10.1016/S0194-5998(98)70173-1}}</ref>
{| class="wikitable" style="margin: 1em auto 1em auto"
{| class="wikitable" style="margin: 1em auto 1em auto"
|+  
|+
! Distinguishing Feature || Peripheral Vertigo || Central Vertigo
!Distinguishing Feature||Peripheral Vertigo||Central Vertigo
|-
|-
| [[Nausea]] || Could be severe || Variable  
|[[Nausea]]||Could be severe||Variable
|-
|-
| [[Vomiting]] || Could be severe || Variable
|[[Vomiting]]||Could be severe||Variable
|-
|-
|[[Hearing loss]] || Common || Rare
|[[Hearing loss]]||Common||Rare
|-
|-
|[[Tinnitus]] || Common || Rare
|[[Tinnitus]]||Common||Rare
|-
|-
|Other [[Neurological]] [[Symptoms]] || Rare || Common
|Other [[Neurological]] [[Symptoms]]||Rare||Common
|}
|}
*'''Time course''':<ref name="Derebery1999">{{cite journal|last1=Derebery|first1=M. Jennifer|title=THE DIAGNOSIS AND TREATMENT OF DIZZINESS|journal=Medical Clinics of North America|volume=83|issue=1|year=1999|pages=163–177|issn=00257125|doi=10.1016/S0025-7125(05)70095-X}}</ref><ref name="Solomon2000">{{cite journal|last1=Solomon|first1=David|title=DISTINGUISHING AND TREATING CAUSES OF CENTRAL VERTIGO|journal=Otolaryngologic Clinics of North America|volume=33|issue=3|year=2000|pages=579–601|issn=00306665|doi=10.1016/S0030-6665(05)70228-0}}</ref><ref name="RosenbergGizzi2000">{{cite journal|last1=Rosenberg|first1=Michael L.|last2=Gizzi|first2=Martin|title=NEURO-OTOLOGIC HISTORY|journal=Otolaryngologic Clinics of North America|volume=33|issue=3|year=2000|pages=471–482|issn=00306665|doi=10.1016/S0030-6665(05)70221-8}}</ref>
*'''Time course''':<ref name="Derebery1999">{{cite journal|last1=Derebery|first1=M. Jennifer|title=THE DIAGNOSIS AND TREATMENT OF DIZZINESS|journal=Medical Clinics of North America|volume=83|issue=1|year=1999|pages=163–177|issn=00257125|doi=10.1016/S0025-7125(05)70095-X}}</ref><ref name="Solomon2000">{{cite journal|last1=Solomon|first1=David|title=DISTINGUISHING AND TREATING CAUSES OF CENTRAL VERTIGO|journal=Otolaryngologic Clinics of North America|volume=33|issue=3|year=2000|pages=579–601|issn=00306665|doi=10.1016/S0030-6665(05)70228-0}}</ref><ref name="RosenbergGizzi2000">{{cite journal|last1=Rosenberg|first1=Michael L.|last2=Gizzi|first2=Martin|title=NEURO-OTOLOGIC HISTORY|journal=Otolaryngologic Clinics of North America|volume=33|issue=3|year=2000|pages=471–482|issn=00306665|doi=10.1016/S0030-6665(05)70221-8}}</ref>
**Lasting a Day or Longer: [[Vestibular neuronitis]], vertebrobasilar [[ischemia]] with [[labyrinth]] infarct, [[Brainstem stroke]], Inferior [[cerebellar]] [[infarct]]/bleed
**Lasting a Day or Longer: [[Vestibular neuronitis]], vertebrobasilar [[ischemia]] with [[labyrinth]] infarct, [[Brainstem stroke]], Inferior [[cerebellar]] [[infarct]]/bleed
Line 32: Line 35:
**[[Acoustic neuroma]]: [[tinnitus]], ear pain, [[aural fullness]], [[headache]], facial weakness.
**[[Acoustic neuroma]]: [[tinnitus]], ear pain, [[aural fullness]], [[headache]], facial weakness.
**[[Vestibular Migraine]]: [[headache]], [[photophobia]], visual aura.
**[[Vestibular Migraine]]: [[headache]], [[photophobia]], visual aura.
**[[Ménière disease]]: hearing loss, [[tinnitus]]  
**[[Ménière disease]]: hearing loss, [[tinnitus]]
**Acute [[labyrinthitis]] or [[vestibular neuritis]]: recent viral infection
**Acute [[labyrinthitis]] or [[vestibular neuritis]]: recent viral infection
**Medication induced: [[aminoglycosides]], [[anticonvulsants]] ([[phenytoin]]), [[anti-depressants]] ([[tricyclic antidepressants]], [[monoamine oxidase]]), [[antihypertensives]], [[diuretics]] ([[furosemide]]), [[barbiturates]], [[cocaine]], [[nitroglycerin]], [[salicylates]]
**Medication induced: [[aminoglycosides]], [[anticonvulsants]] ([[phenytoin]]), [[anti-depressants]] ([[tricyclic antidepressants]], [[monoamine oxidase]]), [[antihypertensives]], [[diuretics]] ([[furosemide]]), [[barbiturates]], [[cocaine]], [[nitroglycerin]], [[salicylates]]


== References ==
 
 
<br />
 
* The majority of patients with [disease name] are asymptomatic.
 
OR
 
* The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
* Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
 
=== History ===
Patients with vertigo may have a positive history of:
 
* described as the room spinning around the patient.<ref name="pmid16445269" />
* [History finding 2]
* [History finding 3]
 
=== Common Symptoms ===
Common symptoms of [disease] include:
 
* [Symptom 1]
* [Symptom 2]
* [Symptom 3]
 
=== Less Common Symptoms ===
Less common symptoms of [disease name] include
 
* [Symptom 1]
* [Symptom 2]
* [Symptom 3]
 
==References==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WH}}

Revision as of 00:12, 21 January 2021

Vertigo Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Vertigo 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

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Vertigo history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Vertigo history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Vertigo history and symptoms

CDC on Vertigo history and symptoms

Vertigo history and symptoms in the news

Blogs on Vertigo history and symptoms

Directions to Hospitals Treating Vertigo

Risk calculators and risk factors for Vertigo history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]

Overview

In order to reach the underlying cause of vertigo, it is important to first confirm the presence of true vertigo which is usually described as 'room spinning around'. Once that is established next step is to differentiate between the central and peripheral causes of vertigo. Time duration and associated signs and symptoms help in identifying the underlying cause.

History and Symptoms

Important factors in history:

  • Confirm true vertigo:
    • True vertigo is described as the room spinning around the patient.[1]
    • Once true vertigo is established next step is to identify if the origin of dysfunction is central or peripheral.[2]
Distinguishing Feature Peripheral Vertigo Central Vertigo
Nausea Could be severe Variable
Vomiting Could be severe Variable
Hearing loss Common Rare
Tinnitus Common Rare
Other Neurological Symptoms Rare Common



  • The majority of patients with [disease name] are asymptomatic.

OR

  • The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
  • Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History

Patients with vertigo may have a positive history of:

  • described as the room spinning around the patient.[1]
  • [History finding 2]
  • [History finding 3]

Common Symptoms

Common symptoms of [disease] include:

  • [Symptom 1]
  • [Symptom 2]
  • [Symptom 3]

Less Common Symptoms

Less common symptoms of [disease name] include

  • [Symptom 1]
  • [Symptom 2]
  • [Symptom 3]

References

  1. ↑ 1.0 1.1 Labuguen RH (2006). "Initial evaluation of vertigo". Am Fam Physician. 73 (2): 244–51. PMID 16445269.
  2. ↑ Baloh, Robert W. (2016). "Differentiating between peripheral and central causes of vertigo". Otolaryngology–Head and Neck Surgery. 119 (1): 55–59. doi:10.1016/S0194-5998(98)70173-1. ISSN 0194-5998.
  3. ↑ Derebery, M. Jennifer (1999). "THE DIAGNOSIS AND TREATMENT OF DIZZINESS". Medical Clinics of North America. 83 (1): 163–177. doi:10.1016/S0025-7125(05)70095-X. ISSN 0025-7125.
  4. ↑ 4.0 4.1 Solomon, David (2000). "DISTINGUISHING AND TREATING CAUSES OF CENTRAL VERTIGO". Otolaryngologic Clinics of North America. 33 (3): 579–601. doi:10.1016/S0030-6665(05)70228-0. ISSN 0030-6665.
  5. ↑ 5.0 5.1 Rosenberg, Michael L.; Gizzi, Martin (2000). "NEURO-OTOLOGIC HISTORY". Otolaryngologic Clinics of North America. 33 (3): 471–482. doi:10.1016/S0030-6665(05)70221-8. ISSN 0030-6665.
  6. ↑ Hanley K, O'Dowd T, Considine N (2001). "A systematic review of vertigo in primary care". Br J Gen Pract. 51 (469): 666–71. PMC 1314080. PMID 11510399.

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Vertigo_history_and_symptoms&oldid=1684324"