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Evaluation and treatment of the patient with acute dizziness in primary care

Authors
Lim, Hyun WooChae, Sung Won
Issue Date
Oct-2010
Publisher
KOREAN MEDICAL ASSOC
Keywords
Acute dizziness; History-taking; Examination; Drug therapy
Citation
JOURNAL OF THE KOREAN MEDICAL ASSOCIATION, v.53, no.10, pp.898 - 910
Indexed
SCIE
SCOPUS
KCI
OTHER
Journal Title
JOURNAL OF THE KOREAN MEDICAL ASSOCIATION
Volume
53
Number
10
Start Page
898
End Page
910
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/115647
DOI
10.5124/jkma.2010.53.10.898
ISSN
1975-8456
Abstract
Dizziness is a very common symptom encountered by primary care physicians. Dizziness can be divided into five subgroups according to symptoms. These subgroups can be determined by a patient's history and allow the physician to deduce the etiology. A careful and systematic approach to dizzy patients is the key to a correct diagnosis and finding the optimal treatment. Physicians should obtain a detailed history from the patient in an open-ended fashion. Brief and comprehensive bedside neuro-otologic examinations, such as cranial nerve examinations, the Dix-Hallpike test, and the head thrust test cannot be omitted for an accurate diagnosis. Knowledge about the numerous disease entities that may contribute to dizziness can be essential for differential diagnosis. In addition, this article provides information about frequently prescribed drugs, including vestibular suppressants and antiemetics.
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