Complaint and history based evaluation of patients with dizziness Baş dönmesi olan hasta: Yakinma ve öyküden yola çikilarak deǧerlendirilmesi
SENDROM, cilt.12, sa.11, ss.81-89, 2000 (Scopus)
- Yayın Türü: Makale / Kısa Makale
- Cilt numarası: 12 Sayı: 11
- Basım Tarihi: 2000
- Dergi Adı: SENDROM
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.81-89
- İstanbul Medipol Üniversitesi Adresli: Evet
Özet
Dizziness, is a fairly frequent complaint of patients in an emergency department, clinic, or office. However, many physicians based in the primary health care units have difficulty diagnosing and managing these cases. In other words, the complaint of dizziness could cause anxiety not only for the suffering patient but also for the primary health care physician due to diagnostic difficulties encountered. One of the reasons for the diagnostic difficulties is that there are variety of diseases which might cause dizziness. The nature of complaint and the case history are valuable tools of the clinician dealing with dizziness. Essential step in assessing the patient with dizziness is to follow a classification process, which relies on the case history. There are mainly three categories: Near syncope (syncope), vertigo, or nonsyncope and nonvertigo dizziness. The main theme of the article is on how to classify any patient with dizziness based on the initial description of the complaint, and the history. The first step in this process involves asking the patient to elaborate the problem. Without using "dizzy" or "dizziness" words, patients are encouraged to explain the problem in his/her own words, beginning from what was happened when first noticed something wrong. Then, patients are instructed to describe symptom precipitators (such as standing, lying, rolling to the side, or experiencing emotional distress), alleviators (such as sitting, squatting, or lying down), the timing and duration of acute symptoms, and the presence of other symptoms. The second step is to classify the case as near syncope, vertigo or nonsyncope by obtaining additional information related to the three diagnostic categories. Many patients with dizziness in these categories are expected to provide a useful retrospective description of their symptoms with exception of the third category, i.e. nonsyncope and non-vertigo dizziness category. Patients in the last category may not be detected only by the comprehensive description of the dizziness, instead these cases can be differentiated by exploring additional psychiatric or neurologic complaints or signs.