Basic clinical skills for diagnosing dizziness/vertigo: history taking and physical examination

Weiwei Qi; Xue Xu; Haiwei Huang

doi:10.13406/j.cnki.cyxb.002856

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Basic clinical skills for diagnosing dizziness/vertigo: history taking and physical examination

Diagnostic strategy and basic clinical skills for neuropsychiatric disorders | 更新时间：2022-06-24

- Basic clinical skills for diagnosing dizziness/vertigo: history taking and physical examination
- Journal of Shanxi Agricultural Sciences Vol. 46, Issue 7, Pages: 769-772(2021)
- 作者机构：
  
  中山大学附属第一医院东院眩晕中心，广州　510000
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.002856
  CLC： R741.041
- Published：28 July 2021，
  
  Received：03 March 2021，
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Weiwei Qi, Xue Xu, Haiwei Huang. Basic clinical skills for diagnosing dizziness/vertigo: history taking and physical examination. [J]. Journal of Shanxi Agricultural Sciences 46(7):769-772(2021)
DOI：

Weiwei Qi, Xue Xu, Haiwei Huang. Basic clinical skills for diagnosing dizziness/vertigo: history taking and physical examination. [J]. Journal of Shanxi Agricultural Sciences 46(7):769-772(2021) DOI： 10.13406/j.cnki.cyxb.002856.

摘要

头晕和眩晕是临床最为常见的主诉症状之一。由于症状的非特异性，临床诊治往往较为困难。详尽的病史采集及系统完整的体格检查有助于初步判定病变部位，从而更加有针对性地选择相应的辅助检查，更快捷有效地明确病因，选择正确的治疗策略。本文基于笔者临床处理众多头晕/眩晕患者的诊治经验，从问诊及体格检查方面简要阐释头晕和眩晕的诊治思路。

Abstract

Dizziness and vertigo are the most common clinical complaint symptoms. However

clinical diagnosis and treatment are often difficult due to the non-specific symptoms. Detailed medical history collection and systematic physical examination are helpful to determine the location of the lesion

so that the corresponding auxiliary examination can be selected more specifically

the cause of the disease can be identified more effectively

and the correct treatment strategy can be made more quickly. Based on the author's rich clinical experience in the diagnosis and treatment of dizziness/vertigo cases

this article briefly explains the diagnosis and treatment of dizziness and vertigo from the aspects of history taking and physical examination.

关键词

头晕眩晕病史采集体格检查

Keywords

dizzinessvertigohistorycollectionphysicalexamination

references

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Bisdorff A, Von Brevern M, Lempert T, et al. Classification of vestibular symptoms: towards an international classification of vestibular disorders[J]. J Vestib Res, 2009, 19(1-2):1-13.

Welgampola MS, Bradshaw AP, Lechner C, et al. Bedside assessment of acute dizziness and vertigo[J]. Neurol Clin, 2015, 33(3):551-564.

Bisdorff AR, Staab JP, Newman-Toker DE. Overview of the international classification of vestibular disorders[J]. Neurol Clin, 2015, 33(3):541-550.

Huh YE, Kim JS. Bedside evaluation of dizzy patients[J]. J Clin Neurol, 2013, 9(4):203-213.

Kattah JC, Talkad AV, Wang DZ, et al. HINTS to diagnose stroke in the acute vestibular syndrome: three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging[J]. Stroke, 2009, 40(11):3504-3510.

Kung NH, Van Stavern GP, Gold DR. INTS in the acute vestibular syndrome: pearls and pitfalls[J]. J Neuroophthalmol, 2018, 38(2):244-250.

Huh YE, Kim JS. Patterns of spontaneous and head-shaking nystagmus in cerebellar infarction: imaging correlations[J]. Brain, 2011, 134(Pt 12):3662-3671.

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