Journals / Ankara Medical Journal / 2014 / Cilt: 14 - Sayı: 2

Differential Diagnosis of Dizziness in Primary Care

Birinci Basamakta Baş Dönmesi Ayırıcı Tanısı

Pages
59–64
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Li ghtheadness,is condition without clear definition or clear associated diagnosis.History reveals the peripheral and central causes of vertigo. 93 of patients with vertigo in primary care have BenignParoxysmal Positional Vertigo (BPPV), acute vestibulary neuronitis or Meniere.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In the United States the annual recorded incidence of dizziness in primary care is 1.7, but in secondary and tertiarycare hospitals it has an annual prevalence of 17.There are four types of dizziness vertigo, li ghtheadness, presyncope, unsteadiness.
📊
Key Findings & Data:Even though it is reported differentlyin the studies (28 %, 29 32 ), the most prevelant type is vertigo.
💡
Conclusion & Impact:Li ghtheadness,is condition without clear definition or clear associated diagnosis.History reveals the peripheral and central causes of vertigo. 93 of patients with vertigo in primary care have BenignParoxysmal Positional Vertigo (BPPV), acute vestibulary neuronitis or Meniere.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

In the United States the annual recorded incidence of dizziness in primary care is 1.7, but in secondary and tertiarycare hospitals it has an annual prevalence of 17.There are four types of dizziness vertigo, li ghtheadness, presyncope, unsteadiness. Even though it is reported differentlyin the studies (28 %, 29 32 ), the most prevelant type is vertigo. Presyncope is the sensation of closing loss ofconsciousness. Unsteadiness or postural instability is sensation, not certainly associated with movement. Li ghtheadness,is condition without clear definition or clear associated diagnosis.History reveals the peripheral and central causes of vertigo. 93 of patients with vertigo in primary care have BenignParoxysmal Positional Vertigo (BPPV), acute vestibulary neuronitis or Meniere.

Özet

Baş dönmesinin Amerika'da birinci basamakta yıllık insidansı 1.7, buna rağmen 2. ve 3. basamaktaki yıllık prevelansı%17'dir. Dört çeşit baş dönmesi vardır: vertigo, sersemlik, presenkop ve dengesizlik. Birinci basamakta prevelansı çeşitliçalışmalarda değişik oranlarda bildirilse de (%28, %29, %32), en yüksek oranı vertigo oluşturmaktadır. Presenkop, bilinçkaybının yaklaştığımn hissidir. Dengesizlik ya da postural kararsızlık, kesin olarak hareketle ilişkili olmayan birduygudur. Sersemlik, açık tamnıı veya belli bir tanı ile ilişkili olmayan bir durumdur.Vertigonun periferal ve santral sebepleri genellikle öykü ile ayırdedilebilir. Verti golu birinci basamak hastalarının %93'üBenign Paroksismal Pozisyonel Vertigo (BPPV), akut vestibüler nörinitis veya Meniere hastalığına sahiptir.

🔖

Cite This Article

YAYLA, M. E. (2022). Differential Diagnosis of Dizziness in Primary Care. Ankara Medical Journal, Cilt: 14 - Sayı: 2, 59–64. https://ajindex.com/articles/442211

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (18)

  1. Post RE, Dickerson LM. Dizziness: Diagnostic Approach. American Family Physician. 2010.82;4:361--8
  2. Colledge NR, Wilson JA, Macintyre CA, et al. The prevalence and charac--ıteristics of dizziness in an elderly community. Age Aging 1994; 23:117----ıl20
  3. Hoffman RM, Einstadter D, Kroenke K. Evaluating dizzi--ıness. Am Med 1999;107:468--78
  4. Sloane PD. Dizziness in primary care: results from the National Ambulatory Medical Care Survey. Fam Pract 1989; 29: 33-38
  5. Kroenke K. Symptoms in medical patients: an untended field. Am Med 1992; 92 35--65
  6. Sixt E, Landahl S. Postural disturbances in 75--year old popula-Ition: 1. Prevalence and functional consequences. Age Ageing 1987; 16: 393-398
  7. Yardley L, Owen N, Nazareth I, Luxon L. Prevalence and presenta-Ition of dizziness in general practice community sample of working age people. BrJ Gen Pract 1998; 8: 1131-1135
  8. Colledge N, Hamilton RB, Lewis SJ, et al. Evaluation of investiga-Itions to diagnose the cause of dizziness in elderly people: com-Imunity based controlled study. BMJ 1996; 313: 788-792
  9. Bird JC, Beynon GJ, Prevost AT, Baguley DM. An analysis of refer--Ira] patterns for dizziness in the primary care setting. Br Gen Pract 1998; 48: 1828--1832
  10. Sloane P, Dallara J. Clinical research and geriatric dizziness: the blind men and the elephant. Am Geriatr Soc 1999; 47: 113--114
  11. Drachman DA, 69--Year--Old Man With Chronic Dizziness, Clinical Crossroads Conferences With Patients and Doctors at Beth Israel Deaconess Medical Center. JAMA.1998;280:24
  12. McGee S, Abemethy WB III, Simel DL. The rational clinical examination. Is this patient hypovolemic? JAMA. 1999;281(11):1022--1029
  13. Fick DM, Cooper JW, Wade WE, et al. Updating the Beers criteria for potentially inappropriate medication use in older adults: results of US consensus panel of experts [published correction appears in Arch Intern Med. 2004;164(3):298J. Arch Intern Med. 2003;163(22):2716--2724
  14. Evans JG. Transient neurological dysfunction and risk of stroke in an elderly English population: the different significance of vertigo and non-rotatory dizziness. Age Ageing 1990;19:43-9
  15. Belal A, Glorig A. Dysequilibrium of ageing. Larygol Otol 1986;100: 1037-1041
  16. Baloh RW. Vertigo. Lancet 1998; 352: 1841-6
  17. Baloh RW, Jacobson KM. Neurotology. Neurol Clin 1996; 14(1):85--101
  18. Baloh RW. Differentiating between peripheral and central causes of vertigo. Otolaryngol Head Neck Surg 1998; 119(1):55--9