Journal of the Korean Medical Association (대한의사협회지)

Korean Medical Association (대한의사협회)
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Evaluation and treatment of the patient with acute dizziness in primary care

일차진료에 있어 급성 어지럼증 환자의 검사와 치료

  • Lim, Hyun-Woo (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Chae, Sung-Won (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine)
  • 임현우 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 채성원 (고려대학교 의과대학 이비인후-두경부외과학교실)
  • Published : 2010.10.10
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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.

Keywords

References

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