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    Vertigo For GP - How To Approach It - Dr. Ni Nengah Rida Ariarini

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    Asiati
    The document outlines a systematic approach for evaluating vestibular symptoms and syndromes. It provides classifications for vestibular symptoms and syndromes and details steps for history taking, physical examination, and examining specific vestibular disorders like acute vestibular syndrome and episodic vestibular syndrome.

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    Vertigo For GP - How To Approach It - Dr. Ni Nengah Rida Ariarini

    Uploaded by

    Asiati
    55 views21 pages
    The document outlines a systematic approach for evaluating vestibular symptoms and syndromes. It provides classifications for vestibular symptoms and syndromes and details steps for history taking, physical examination, and examining specific vestibular disorders like acute vestibular syndrome and episodic vestibular syndrome.

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    Vertigo for GP_ how to approach it__dr. Ni Nengah Rida Ariarini

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    The document outlines a systematic approach for evaluating vestibular symptoms and syndromes. It provides classifications for vestibular symptoms and syndromes and details steps for history taking, physical examination, and examining specific vestibular disorders like acute vestibular syndrome and episodic vestibular syndrome.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    55 views21 pages

    Vertigo For GP - How To Approach It - Dr. Ni Nengah Rida Ariarini

    Uploaded by

    Asiati
    The document outlines a systematic approach for evaluating vestibular symptoms and syndromes. It provides classifications for vestibular symptoms and syndromes and details steps for history taking, physical examination, and examining specific vestibular disorders like acute vestibular syndrome and episodic vestibular syndrome.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 21

    SYSTEMATIC APPROACH

    C-AVS or P-AVS/C-EVS or P-EVS/C-CVS or P-CVS


    CENTRAL or PERIPHERAL SIGN

    START 03

    Stroke/BPPV/Meniere’s etc
    SPECIFIC ETIOLOGY
    04

    01 02

    VESTIBULAR SYMPTOMS VESTIBULAR SYNDROMES


    Vertigo/Vestibulo-visual Symptom/ AVS/EVS/CVS
    Dizziness/Postural Symptom
    VESTIBULAR SYMPTOM
    (ICVD CLASSIFICATION)
    VESTIBULAR SYNDROME
    HISTORY TAKING
    PHYSICAL EXAMINATION
    All Vestibular Syndrome Examination
    Acute Vestibular Syndrome Examination

    Other nystagmus suggestive central origin


    Any of the HINTS-plus findings suggestive of central
    → consider central origin until proven otherwise

    If HINTS-plus is still inconclusive or to increase Sn/Sp


    →perform postural balance, coordination & central
    oculomotor examination
    Episodic Vestibular Syndrome Triggered Examination
    Alternative Algorithm
    in Acute Vertigo
    Episodic Vestibular Syndrome Spontaneous
    and Chronic Vestibular Syndrome
    COMMON VESTIBULAR DISORDERS

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