DIAGNOSTIC APPROACH TO DIZZINESS
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- Опубліковано 15 тра 2024
- #nursepractitioners #nursepractitioner #familynursepractitioner
Dizziness alone accounts for about 5% of all primary care office visits in the US.
5%! That's a huge number.
But as a chief complaint, dizziness is somewhat nebulous. The causes of dizziness can run the gamut from annoying-but-benign to yikes-let's-get-you-to-the-ER. So how do you sift through all the possibilities and uncover what’s really going on with your patient?
In Diagnostic Approach to Dizziness, we walk NPs through the basics of assessing patients who are experiencing dizziness. We talk about:
✅ The four buckets of ideologies that your patient’s dizziness might fall into
✅ The critical patient history questions. (And why it's important to drill down on what patients mean when they say they're CONSTANTLY dizzy.)
✅ The diagnostic steps and key physical tests to run (and how to do them in a not-scary way for your patients!)
🚩And the red flags you absolutely need to watch out for
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To get to the information on the Dix-Hallpike maneuver referenced in the video, check out this link: n.neurology.org/content/suppl...
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I am so grateful I found your videos. Thank you sacrificing your time to help all new NP.
You are so welcome!!
Liz, you are a gift!
Thank you!!
Liz I really appreciate your videos! I just started my first week practicing and I can see it takes a while to build your confidence!
You are so welcome!
Informative and amusing thank you doc 👍👍
My pleasure!
you are a huge positivity bomb and explain really straight forward and make it interesting! thank you!
Thank You for your kind words
thanks for mentioning the language differences! in chinese, there's one word to describe dizziness/lightheadedness/vertigo/fainting and it makes it quite hard to have the pt 'describe dizziness without using that word'. and even for a fluent english speaker, it can be difficult to differentiate between all those terms. please do consider making a 2nd part to this as it was helpful, yet many questions remain!
Thank you!
Your video so interesting and you appear very kind
I'm glad you found it interesting. Thanks for the kind words!
Thank you for your video. I think it is also practical to divide vertigo into the famous categories of peripheral vs central while peripheral ones are sudden, severe, lasting for seconds,have unidirectional fatigable nystagmus and may be associated with nausea, vomiting, hearing loss or tinnitus and there is no neurological symptoms. However, as you mentioned in practice it may not be always straightforward to diagnose clinically.
Thank you!
Hi Liz! Thank you so much for making this helpful video. Can you clarify which presentation (vertiginous, pre-syncope, disequilibrium, lightheadedness) correlates with which "bucket" system? It was a bit hard to tell in the video.
Hey! So sorry for the delay. Yeah I was worried that was confusing-- so pre-syncope correlates with cardiac, lightheadedness is "non-specific," vertiginous tends to be HEENT etiology (either benign or dangerous) and disequilibrium can be something like a stroke or sensorial disequilibrium from something like diabetic neuropathy, etc. Does that make sense? The book Symptom to Diagnosis is also really helpful with this chief complaint!
examples with videos would be nice
Keeping this in mind for the future. Thanks for watching!
Great video as always. As a soon to be new grad, thank you!
We recently had a new elderly patient present with dizziness. Her dizziness was so nonspecific because she had mixed complaints. Anyway we did bloodwork and the next day her serum sodium level result was 129. We sent her to the hospital.
I didn't see the link for the Dix-Hallpike maneuver. Here's a good one from our local ENT ua-cam.com/video/wgWOmuB1VFY/v-deo.html
Thanks!
Could dizziness and episodes of vertigo be due to brain tumor? Why do we only worry about stroke when it comes to dizziness?
Definitely could be a brain tumor. This is why imaging is helpful to rule in or rule out a stroke or other brain masses.