One article masters the history of dizziness and dizziness medical history

Patients such as dizziness and dizziness are frequent visits to neurology and otolaryngology clinics. The causes behind dizziness and dizziness are more complicated and complicated. There are many related diseases, and there are many examinations. Essence

Therefore, "consultation" is particularly important in the diagnosis of dizziness and dizziness. Through comprehensive and skillful consultations, doctors can basically clarify 70%to 80%of dizziness. "Medical Knowledge Disease Knowledge Base" collected "Dizziness and Dizziness Medical History History Inquiry Strategy", let's take a look together ~

Dizziness and dizziness Ask diagnosis strategy 1: Start with open consultation, find clues in the medical history

In the diagnosis and treatment of dizziness and dizziness, we must start from the medical history and find clues from it to form preliminary diagnosis and treatment ideas.

Most patients can clearly record and describe their onset. For this part of the patient, we can try to start with open consultation.

Let's first look at a history of medical history:

I caught a cold a week ago, it was not too heavy, and I didn't take it seriously. As a result, I suddenly dizzy 3 days ago. When I opened my eyes in the morning, I watched the window rushing. I hurriedly closed my eyes and opened it. Eyes, still like that, especially when I think of going to the bathroom, even more powerful. The cabinets in the bedroom are moving, nauseous, I want to vomit, I can't get up on the first day, I can move my arms and legs. , So I dare not move. Later, I fell asleep and woke up better, but I still didn't work. I opened my eyes like this. I wanted to call 120. The next day I was better. Youyou, walking is not good, deep and shallow, I feel that I can't control the direction. I always hit the wall on the right. Today is the fifth day. It's better. I dare not get up so quickly. I feel much better. , But when I bowed my head and wearing shoes, I was dizzy, and I could n’t care about it a few days ago. Today, I feel that the right ears are also boring. Is it a bath and water?

In this medical history statement, although the patient did not say the professional terms in the "dizziness six questions", we can find the corresponding life chemical words, such as:

Dizziness- "The windows are rushing";

The posture is unstable- "I can't control the direction, always hit the wall on the right";

A specific position induced- "When wearing shoes";

Continuousness- "I can't get up on the first day";

Short -term dizziness- "I dizzy when wearing shoes";

In this diagnosis method, we can also sort out the medical history, but there are two points to pay attention to:

1. To listen, try not to interrupt the patient, so as not to miss the important information;

2. Listen to be able to associate the patient's popular terms and medical terms.

Dizziness and dizziness Ask diagnosis strategy 2: closed -type consultation, master the key medical history

The above diagnosis methods have high requirements for doctors and patients. Then, when patients cannot describe this clear and accurate medical history, we need to have a closed -type consultation with the main and hierarchical levels.

Dizziness Six questions can be divided into core medical history and identification history according to the diagnostic ideas. The core history mainly includes two problems: dizziness nature and formal form. These two issues are the key medical history to determine what kind of syndrome to enter. We can change the angle to ask questions and verify it repeatedly. Here, we list the three most critical issues:

1. Is it the first attack?

2. Is this attack the same as the previous attack?

3. Is there a time to not faint at all?

After entering different vestibular syndrome diagnosis, a differential diagnosis should be performed. We need to discriminate from the four aspects of inducing the cause, the duration of each attack, accompanied by symptoms, and the past history. The focus of the inquiries of not inquiring is different, such as: the acute vestibular syndrome focuses on the symptoms; The syndrome focuses on the induction factors; the chronic vestibular syndrome focuses on the previous history. In the case of insufficient time, we can give priority to collecting key medical history and improve efficiency.

Figure 1 Dizziness and dizziness Ask the diagnosis process suggestion

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I do n’t know what the above these dizziness and dizziness are the same as what the diagnosis strategies and points are used in clinical practice? All of these contents are from the "Inquiry Strategy of Dizziness and Dizziness" in the "History of Dizziness and Dizziness" in the "Medical Knowledge Source · vestibular disease knowledge base".

"Medical Knowledge Source · vestibular Disease Knowledge Base" is a joint clinical experts created for vestibular diseases, which are based on "disease" as the core. Doctors quickly and comprehensively get the latest progress and make the best clinical decisions. What are you waiting for, click the small program link below to view the detailed knowledge of dizziness and dizziness medical history, and more than 60 vestibular diseases are included in the knowledge base ~ Come and take a look!

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