Nervous System & Special Senses

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"\u0022Dizziness\u0022 is one of the most common complaints, and may be due to a myriad of conditions. Yet, despite the broad differentials, a systematic evaluation will often yield a clinical diagnosis.\n\nThe first step is to determine what the patient means by \u0022dizziness\u0022 - is it (true) vertigo ? Or is it something else, i.e. light-headedness or unsteadiness ? Careful history taking is paramount.\n\nThis patient complains that the \u0022room was spinning around her\u0022, i.e. a sensation of illusory movement. This is characteristic of (true) vertigo.\n\nIf the presence of vertigo is established, the next step should be to determine if this is central or peripheral vertigo.\n\nCentral vertigo occurs when the brainstem or cerebellum is affected, i.e. due to cerebrova"}]}

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