“SO STONED”: Common Sense Approach of the Dizzy Patient

  Dimensions Questions Targeted additional questions
S SYMPTOMS What are the symptoms? Vertigo, dizziness, nausea, postural instability, falls without syncope, falls with syncope, lightheadedness, rotatory or linear sensations, tilt of the vertical, oscillopsia, drunken feeling, lateropulsion, to-and-fro rocking,..
O OFTEN How often does “it” happen? Daily (once or several times a day), weekly, monthly, irregularly, continuously, only once, only during the trigger
S SINCE Since when do you suffer from this problem? Both related to time and circumstances A day, week, month, year, decade agoAfter a viral illness, a head trauma, a medical/surgical intervention, a journey on a boat, train or plane, without any clear cause
T TRIGGER What triggers the complaints/symptoms and what makes them worse, i.e., aggravating factors? General head movements, walking, rolling over in bed, bending over, looking up, being a passenger in a car or plane, walking in supermarket aisles, walking in semi-darkness, coughing, noise, visual stimuli, or … completely spontaneous
O OTOLOGY Do you experience any concomitant otological symptoms and when do these occur? Hearing loss (fluctuating), tinnitus, aural fullness, hyperacusis, autophonia, draining ear, otalgiaBefore, during, or after the attacks, in between, long-lasting, i.e., independent of the symptoms
N NEUROLOGY Do you experience any concomitant neurological symptoms? Headache, migraine (current and in the past), face or limb paresthesia, scotoma, phonophobia, photophobia, numbness, palpitations, hyperventilation, speech problems, diplopia, cervical problems
E EVOLUTION What is the evolution of the symptoms? Persistent, improving, worsening, ups, and downs
D DURATION What is the duration of the symptoms? Seconds, minutes, hours, days, continuously

原文参考:

https://www.frontiersin.org/articles/10.3389/fsurg.2016.00032/full

发表回复

您的电子邮箱地址不会被公开。 必填项已用*标注