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Dizziness Algorhythm

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Yes
Loss of Consciousness
Medication, Caffeine, Nicotine, Alcohol,
Head trauma
Pre-Syncope - ECG
Seizures - Neuro
Intracranial Process/TIA - Neuro Imaging
No
Dizziness
Vertigo
Spinning or
sense of motion
Light Headed
Feeling Faint or
disconnected
*
*
*
*
*
*
*
*
Hypovolaemia
Vasovagal
Dysrhythmias
Panic
Drug effects
MI
Sepsis
Anxiety/Stress
Disequilibrium
Possibly related
to aging
*
*
Peripheral
neuropathy
Parkinson's
Malaise
Feeling unwell or
illness
*
*
*
Anaemia
Infection
Depression
Peripheral / Central
Peripheral
Severe, Sudden over seconds, hours, days usually with
Neurological symptoms
Hearing Loss
Central
Mild, Gradual over days.
weeks, without Neurological
symptoms
Without Hearing Loss
BPPV: Episodic short
lived positional
Head Trauma
Secs
Perilymphatic Fistula
Hours
Menieres: Episodic
with tinnitus, attacks in
clusters with long
symptom free periods
Vestibular Migraine:
Episodic and
associated with aura,
photo/phonophobia
Vertebrobasilar Migraine
Otosyphilis
Recurrent
Vestibulopathy (Like
Meniere's but without
hearing impairment
Cerebellar Haemorrhage:
Severe vertigo, headache,
vomiting, ataxia
Vestibular Neuronitis:
non-episodic with
severe vertigo for days
with mild persistent
positional vertigo
Vertebrobasilar Insufficiency:
Common in elderly or cardiac
/ cerebrovascular disease.
Concussion / Head
Trauma
Multiple Sclerosis
Days
Month
Labyrinthitis: Nonepisodic. Mild-Severe
Acoustic Neuroma:
Tinnitus, asymmetry
Ototoxicity:
Tinnitus, drugs
Hypoglycaemia
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