Acil Serviste Vertigoya Yaklaşım
Vertigo acil servislere sık başvuru nedenlerinden biridir. Başvuruda vertigo ve sersemlik hissi ayırt edilmelidir. Sersemlik hissinin, vertigoya göre daha çok vital bulgu anormalliği yapabileceği ve altta yatan ciddi bir problemi yansıtacağı bilinmelidir. İlaç tedavisinin sadece semptomları azalttığı ve vestibüler testlerin ise tedavinin temeli olduğu bilinmektedir. Bu derlemede periferik ve santral vertigo ayırıcı tanısı yapılarak, basit manevra önerileri ile acilden taburcu edilebilecek hastalarla daha ileri tetkik ve tedavi gerektirecek hastalara genel yaklaşımın aktarılması amaçlanmıştır.
Approach to Vertigo at Emergency Department
Vertigo is one of the frequent causes of admissions to emergency services. Vertigo and dizziness should be distinguished on admission. It should be well known that dizziness might based on more underlying problems with vital abnormalities compared to vertigo. Medication reduces the symptoms and mainstay of treatment is vestibular tests. The aims of this review are to distinguish central and peripheral vertigo, evaluate approaches to discharge patients form the emergency room with simple maneuvers and describe general approach to the patients that require further evaluation and treatment.
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