Articles Tagged With: dizziness
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Emergency Department Evaluation of Vertigo and Dizziness
Vertigo can be a complicated complaint for emergency medicine physicians to manage. The differential for this is broad, ranging from benign processes, such as BPPV, to more devastating causes, such as posterior strokes.
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Self-Treatment of Recurrent Benign Paroxysmal Positional Vertigo
Using a cell phone-based app, self-treatment of recurrent benign positional paroxysmal vertigo was feasible and effective in most patients.
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In Med/Mal Cases for Missed Central Nervous Pathology, Dizziness Is Factor
After reviewing dozens of malpractice claims, researchers learned patients who reported dizziness often were discharged home or admitted without anyone diagnosing central nervous system pathology. Patients presented to an ED and were diagnosed with migraine or other conditions. The correct diagnoses only became clear later. The subsequent lawsuits revolved around the first emergency physician missing the diagnosis at the initial visit.
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Acute Ataxia and Gait Disturbances in the Emergency Department
Ataxia and gait disturbances can signify a variety of conditions. The differential includes benign as well as life-threatening causes. An understanding of the pathophysiology and a thorough neurological exam are critical in making these distinctions.
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Treatment of Acute Vertigo
In a meta-analysis of published studies of treatment of acute vertigo, the authors concluded that treatment with an antihistamine is more effective than benzodiazepines for the acute symptoms. However, there was no difference between the two medications in terms of resolution within one week or within one month.
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THC-Related Neuropsychiatric Symptoms in Older Adults
Using cannabis-based medicine often exposes patients to delta-9-tetrahydrocannabinol (THC), which is associated with psychotic symptoms. THC also can cause lightheadedness, dizziness, and thinking or perception disorder in older adults.
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Try Using Telehealth to Diagnose and Manage Patients with Dizziness
Appreciating the need for more guidance in this area, an international task force comprised of physician-scientists from 10 countries developed consensus-based guidelines to help frontline providers diagnose and triage patients with dizziness over a telehealth or virtual platform.
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Try Using Telehealth to Diagnose and Manage Patients with Dizziness
Because of COVID-19, many patients with dizziness may be seeking care virtually. It has become increasingly important for practitioners to be able to recognize whether there is a serious underlying cause via two-way video hookup.
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What Kind of AV Block?
The ECG in the figure was obtained from a young adult who presented to the emergency department with dizziness, a near syncopal episode, and chest discomfort. Does this ECG suggest AV block is the cause of his symptoms?
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Is It Dizziness or Dementia?
Researchers find certain systolic blood pressure changes may be connected with higher risk for dementia.