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Dizziness History
Nov 19, 2010
•
Mark Morgan
categories:
Subjective/History
Neurology
Short Version
Source of history: son|daughter|spouse|father|mother. Patient has had dizziness for ***. Other symptoms include lightheadedness|vertigo|sensation of motion|tinnitus|decreased hearing|nausea|vomiting|weakness. Onset abruptly|insidiously. Symptoms have waxed and waned|increased|decreased|been stable. Associated symptoms include headache|palpitations|chest pain|anxiety. Symptoms are affecting ability to work|activities of daily living. Aggravating factors include movement|loud noises|activity|food|change in posture. Alleviating factors include laying down|avoiding movement|OTC motion sickness treatment. Patient has past history of similar symptoms|Meniere's disease|syncope|orthostasis|cerebrovascular disease|diabetes|CAD|cardiac arrhythmia.
speech input
Long Version
Dizziness
The episode happened
before this evaluation
Onset while
.
Episode location:
Episode description:
The last similar episode was
Key symptoms
no
YES
<-- vertigo
no
YES
<-- hearing loss
no
YES
<-- tinnitus
no
YES
<-- lightheadedness
no
YES
<-- ataxia or impaired balance
no
YES
<-- near-syncope
no
YES
<-- complete loss of consciousness
no
YES
<-- seizure activity
no
YES
<-- confusion
no
YES
<-- generalized weakness
no
YES
<-- palpitations
Associated symptoms:
no
YES
<-- chest pain
no
YES
<-- dyspnea
no
YES
<-- nausea or vomiting
no
YES
<-- headache
no
YES
<-- visual changes
no
YES
<-- abdominal pain
no
YES
<-- bleeding (e.g. stool, urine, vagina)
no
YES
<-- low blood sugar
Past Medical History
no
YES
<-- Recent upper respiratory infection
no
YES
<-- Recent trauma
no
YES
<-- Seizure history
no
YES
<-- Diabetes mellitus history
no
YES
<-- Coronary artery disease history
no
YES
<-- Cerebrovascular accident history
no
YES
<-- Gastrointestinal bleeding history
no
YES
<-- Other (e.g. pregnancy in women of child bearing age)
Cardiovascular risks reviewed
no
YES
<-- Family history of Premature CAD or CVA (<55)
no
YES
<-- Tobacco use
no
YES
<-- Hyperlipidemia
no
YES
<-- Hypertension
display/hide references
reference: Long Version contributed by Dr. Scott Moses, creator/author of the Family Practice Notebook
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