Vertigo Clinical Examination

• June 24, 2023
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A thorough history take and comprehensive neuro-otologic physical examination, including a vestibular examination, are the first steps in evaluating the dizzy patient. The history is crucial and should concentrate on the kind of symptoms, how long they have persisted, and what causes or prevents them. Patients should be asked to explain their symptoms using terms other than "dizzy." It is recommended that patients avoid using the word "dizzy" since they could use it to describe vertigo, unsteadiness, widespread weakness, syncope, presyncope, or falling. Lightheadedness, unsteadiness, motion intolerance, unbalance, floating, or a tilting sensation are all symptoms of dizziness. Vertigo, a form of dizziness described as an illusion of movement brought on by asymmetric input to the vestibular system, must be distinguished from other kinds of dizziness.

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