Dizziness, Vertigo, Giddiness Dizziness Vertigo Episodic sudden sensation of circular motion of the body or its surroundings Giddiness Sensation of uncertainty or ill-defined lightheadedness, typical psychoneurotic symptom Dizziness Causes: Heart -High BP, low BP, Heart attack, Arrhythmia Brain -Syncope, stroke, headache, migraine, tumor Drugs -Blood pressure medications, sedatives, tranquilizers, antidepressants, pain relievers, some antibiotics Causes: Metabolic Hypoglycaemia, hypoxia, dehydration Aging Reduced capacity for exercise or activity Arteriosclerosis causing decreased blood supply to the brain, heart, and other organs Psychiatric Depression, anxiety, panic disorder, hyperventilation Other illness Anaemia, prolonged bed rest, infections History: Describe dizziness, must differentiate from vertigo(sensation of movement, spinning, rocking, or whirling First attack? Lots of attack? Frequency? Associate symptoms Headache Weakness, facial numbness, facial droop, limbs weakness, clumsiness Chest pain, SOB, palpitation, jaw pain Symptoms of depression History: Past medical history - DM - Heart attack - GI bleed Drug history P/E , Ix 4 systems Physical exam BP, ECG Blood tests(Hb, WCC, glucose) CT brain Cardiac stress test Surgery for internal bleed Depends on what HISTORY suggest!!!
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