Re: Dizziness/syncope?

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Posted by Doc G from IP on October 03, 2013 at 06:04:28:

In Reply to: Dizziness/syncope? posted by shushma on September 16, 2013 at 19:40:48:

hello mrs......I am are you doing today?
when did you faint? is this the first time?what were you doing just before that? (exercise,passing urine,coughing severely),did you feel numbness in your
legs,hands,involuntary movements?(TIA,Epilepsy),
Any asso symp N/V,dysarthria,visual disturbances(VBI),
DO you get ringing sensation in your ear?difficulty in hearing?h/o URTI?(Menieres, labyryntitis, vestibular neuronitis)
vertigo on moving the head?(benign positional vertigo)
any h/o drug intake?(ototoxic medicines,antihypertensives,diuretics)
r u having any bleeding? (elderly with diverticulosis, menorrhagia,occult blood loss)
h/o any illness(hypertension,DM,heart problems),when did you eat food last?(hypoglycemia),look for pallor(anemia)
do you have h/o migraine?
h/0 dehydration?(diarrhoea, vomitting)
h/o stress at work/home?

i guess in physical exam we have to check nervous system,heart and lungs....any thing else you can think of?

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