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Tytuł:
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Vertigo: Streamlining the Evaluation through Symptom Localization.
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Autorzy:
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Noij KS; Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA; Department of Otolaryngology Head and Neck Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Shapiro SB; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Samy RN; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Naples JG; Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA; Department of Otolaryngology Head and Neck Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. Electronic address: .
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Źródło:
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The Medical clinics of North America [Med Clin North Am] 2021 Sep; Vol. 105 (5), pp. 901-916. Date of Electronic Publication: 2021 Jul 12.
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Typ publikacji:
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Journal Article; Review
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Język:
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English
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Imprint Name(s):
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Original Publication: Philadelphia, PA : W B Saunders
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MeSH Terms:
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Vertigo/*pathology
Diagnosis, Differential ; Humans ; Physical Examination ; Physical Therapy Modalities ; Primary Health Care ; Vertigo/diagnosis ; Vertigo/etiology ; Vertigo/therapy
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Contributed Indexing:
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Keywords: Central vestibular disorders; Peripheral vestibular disorders; Vertigo; Vestibular examination
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Entry Date(s):
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Date Created: 20210815 Date Completed: 20210823 Latest Revision: 20210823
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Update Code:
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20240105
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DOI:
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10.1016/j.mcna.2021.05.011
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PMID:
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34391542
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Vertigo is defined as the illusion of internal or external motion. The evaluation of a patient with vertigo in the primary care setting should not necessarily focus on providing a specific diagnosis. Rather, the physician should aim to localize the lesion. This practice streamlines the workup of patients. This article provides detailed information regarding appropriate organ system-based clinical history and the clinical workup of vertigo. Additional signs and symptoms that can facilitate appropriate referral and treatment are highlighted. Although disorder-specific treatments exist the mainstay of therapy for vertigo-induced pathology is physical therapy.
Competing Interests: Disclosure No conflict of interest to disclose (K.S. Noij, S.B. Shapiro, J.G. Naples). Research funding from Cochlear Americas (R.N. Samy).
(Copyright © 2021 Elsevier Inc. All rights reserved.)
