Dizzy and Confused: A Step-by-Step Evaluation of the Clinician's Favorite Chief Complaint

Christine Kulstad, Blaine Hannafin

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

This article covers the general approach to patients who present to the emergency department with a complaint of dizziness or vertigo, and altered mentation. Patients' histories and physical examination findings are discussed first, then a pertinent differential diagnosis, ranging from neurological causes and poor perfusion states to toxicologic causes, is described along with the distinguishing features and potential diagnostic pitfalls of each problem. Case scenarios are presented and the treatment and disposition of patients from the emergency department are discussed.

Original languageEnglish (US)
Pages (from-to)453-469
Number of pages17
JournalEmergency Medicine Clinics of North America
Volume28
Issue number3
DOIs
StatePublished - Aug 2010

Keywords

  • Altered mental status
  • Dizziness
  • Evaluation
  • Vertigo

ASJC Scopus subject areas

  • Emergency Medicine

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