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Is it true vertigo? True vertigo is characterized by the fact that the subject feels he or his environment is turning. One other form of true vertigo is lateral pulsion, in which the subject feels as if he is moving to ... DIAGNOSTIC WORKUP
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Is there a family history of migraine or epilepsy? Migraine and epilepsy both present with abdominal pain.
Is the pain colicky or persistent? Chronic colicky abdominal pain may be due to chronic cholecystitis, cholelithiasis, ... DIAGNOSTIC WORKUP
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Dizziness/lightheadedness, a sensation of nearly losing consciousness, must be distinguished from vertigo, a sense of impulsion (spinning), either of the environment or of the patient. Dizziness/lightheadedness usually results from a decrease in cerebral blood flow,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Vertigo is an illusion of movement (usually rotatory) due to an acute imbalance of tonic vestibular activity. Symptoms of vertigo are nonspecific and occur when there is a disturbance anywhere in the peripheral or central vestibular system. Determining the site... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Recurrent or relapsing fever is a cluster of febrile episodes that occur over a period of time, with documented fever-free intervals and without an apparent medical cause for each episode. It should be differentiated from cyclic fever, which refers to... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Dizziness may mean true vertigo, which is a hallucination of movement of the patient or his environment, or light-headedness, which is a feeling that one is going to faint (and sometimes does). The causes of light-headedness are developed under the section on syncope
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... A common symptom, dizziness is a sensation of imbalance or faintness, sometimes associated with giddiness, weakness, confusion, and blurred or double vision. Episodes of dizziness are usually brief; they may be mild or severe with an abrupt or a... History and physical examination ... Medical causes ... Other causes ... Special considerations
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... Vertigo is an illusion of movement in which the patient feels that he’s revolving in space (subjective vertigo) or that his surroundings are revolving around him (objective vertigo). He may complain of feeling pulled sideways, as though drawn by a magnet.
A common symptom... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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...Decorticate rigidity, abnormal flexor response
A sign of corticospinal damage, decorticate posture is characterized by adduction of the arms and flexion of the elbows, with wrists and fingers flexed on the chest. The legs are extended and internally rotated, with plantar... History and physical examination ... Medical causes ... Special considerations
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... Dizziness
Hyperventilation
Anxiety, psychosomatic causes
Hypoxia
Anemia
Visual disturbances
Incorrect spectacles
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... A common symptom, dizziness is a sensation of imbalance or faintness, sometimes associated with giddiness, weakness, confusion, and blurred or double vision. Episodes of dizziness are usually brief; they may be mild or severe with an abrupt or gradual onset. Dizziness... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... Vertigo is an illusion of movement in which the patient feels that he’s revolving in space (subjective vertigo) or that his surroundings are revolving around him (objective vertigo). He may complain of feeling pulled sideways, as though drawn by a magnet.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... A sign of corticospinal damage, decorticate posture is characterized by adduction of the arms and flexion of the elbows, with wrists and fingers flexed on the chest. The legs are extended and internally rotated, with plantar flexion of the feet. This... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers
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... John Muench
Dizziness is a disturbance in a patient’s subjective sensation of relationship to space. It can be the clinical presentation for many different diagnoses. It is the 15th most common reason for all visits... Approach ... History. ... Physical examination. ... Testing ... Diagnostic assessment
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... Frank S. Celestino
Dizziness accounts for 1% to 2% of all office visits, 7% of visits by patients aged more than 80 years and 20% to 25% of all non–pain-related emergency room visits (1–3). Dizziness and vertigo are usually benign, self-limited... Approach ... History ... Physical examination (PE) ... Testing ... Diagnostic assessment
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... Differential Overview
Vertigo
❑ Benign paroxysmal positional vertigo
❑ Vestibular neuronitis
❑ Toxic labyrinthitis ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
❑ Irritable bowel syndrome
❑ Peptic ulcer disease
❑ Cholecystitis
❑ Chronic pancreatitis
&... Diagnostic Approach ... Clinical Findings
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... A common symptom, dizziness is a sensation of imbalance or faintness, sometimes associated with giddiness, weakness, confusion, and blurred or double vision. Episodes of dizziness are usually brief; they may be mild or severe with abrupt or gradual... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... A sign of corticospinal damage, decorticate posture is characterized by adduction of the arms and flexion of the elbows, with wrists and fingers flexed on the chest. The legs are extended and internally rotated, with plantar flexion of the feet. This... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Nursing considerations ... Patient teaching
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... A common symptom, dizziness is a sensation of imbalance or faintness, sometimes associated with giddiness, weakness, confusion, and blurred or double vision. Episodes of dizziness are usually brief; they may be mild or severe with abrupt or gradual onset.... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Vertigo is an illusion of movement in which the patient feels that he’s revolving in space (subjective vertigo) or that his surroundings are revolving around him (objective vertigo). He may complain of feeling as if he’s being pulled sideways, as though drawn... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... A sign of corticospinal damage, decorticate posture is characterized by adduction of the arms and flexion of the elbows, with wrists and fingers flexed on the chest. The legs are extended and internally rotated, with plantar flexion of the feet.... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Vertigois a disturbance of spatial orientation in which individuals havethe sensation that they or their surroundings are moving. Abnormalvestibular function, either in the peripheral or central nervoussystem, produces vertigo. Peripheral vestibular system includes... Principal Causes of Vertigo ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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...Syncope is a transient loss of consciousnessand postural tone usually produced by impaired cerebral blood flow.Generally, a syncopal episode in childhood is a benign isolatedevent; however, some causes can be life threatening. Because dizzinessoften precedes syncope, it is also... Principal Causes of Syncope and Dizziness ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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...Some children have frequent or recurrentinfections. The important clinical question is whether these areinfections that occur in immunologically normal or compromised hosts. Principal Causes of Recurrent Infection Normalhost Upperrespiratory ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... A common symptom, dizziness is a sensation of imbalance or faintness, sometimes associated with giddiness, weakness, confusion, and blurred or double vision. Episodes of dizziness are usually brief; they may be mild or severe with an abrupt or a gradual onset.... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Vertigo is an illusion of movement in which the patient feels that he's revolving in space (subjective vertigo) or that his surroundings are revolving around him (objective vertigo). He may complain of feeling pulled sideways, as though drawn by a... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... A sign of corticospinal damage, decorticate posture is characterized by adduction of the arms and flexion of the elbows, with wrists and fingers flexed on the chest. The legs are extended and internally rotated, with plantar flexion of the feet. This... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
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Dizziness may mean true vertigo, which is a hallucination of movement
of the patient or his environment, or lightheadedness, which is a feeling
that one is going to faint (and sometimes does). The causes of
lightheadedness... Pictures
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... Author:
Sonya Burroughs, MD
What to Do - Gather Appropriate Data
Preparticipation sports screening is an essential yet difficult tool used for
athletic clearance. This purpose of the screening is to identify those at risk
for... Suggested Readings ... Pictures
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... Author:
Heidi Herrera, MD
What to Do - Take Action
Sickle cell disease (SCD)is the most commonsingle gene disorderin African
Americans. Other high-risk infant populations include the Mediterranean
countries, Turkey, the Arabian and Indian... Suggested Readings
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Almost half of all people with diabetes experience some form of nerve damage, which can develop into a complication known as peripheral neuropathy....
One class of HIV medicines has been associated with problems related to the central nervous system. Side effects include vivid dreams and sleep...
While dehydration is a common concern for runners, especially during a marathon, experts now say that too much water can be worse. Learn the right...
Nearly half of all patients treated for epilepsy find it hard to take their medications as directed. Learn what steps you can take to stick with...