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The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
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Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Bedside examination.

D Straumann1

  • 1Interdisciplinary Center for Vertigo and Neurological Vision Disorders, Department of Neurology, University Hospital Zurich, Zurich, Switzerland.

Handbook of Clinical Neurology
|September 18, 2016
PubMed
Summary
This summary is machine-generated.

Bedside tests and patient history effectively diagnose most dizzy patients. This approach identifies those needing immediate referral, simple treatments, or specific maneuvers for benign paroxysmal vertigo.

Keywords:
Romberg testalternating cover testbedside examinationdynamic visual acuityhead impulse testprovocation maneuversskew deviationspontaneous nystagmusvibration sense

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Area of Science:

  • Neuroscience
  • Otolaryngology
  • Neurology

Background:

  • Dizziness and vertigo are common patient complaints.
  • Accurate diagnosis is crucial for appropriate management.
  • A systematic approach can streamline the diagnostic process.

Purpose of the Study:

  • To outline a set of essential bedside tests for evaluating dizziness.
  • To categorize patients based on diagnostic and therapeutic needs.
  • To demonstrate how bedside assessments can guide further medical interventions.

Main Methods:

  • Review of clinical history taking for dizzy patients.
  • Implementation of a basic set of bedside diagnostic tests.
  • Application of additional neuro-otologic tests for differential diagnosis.

Main Results:

  • A limited selection of bedside tests, combined with history, is sufficient for differential diagnosis in most dizzy patients.
  • These tests effectively identify patients requiring immediate referral, those with non-life-threatening conditions, and those with benign paroxysmal vertigo.
  • Further neuro-otologic bedside tests aid in refining the differential diagnosis.

Conclusions:

  • A structured bedside evaluation is highly effective in managing dizzy patients.
  • This approach allows for efficient patient stratification and targeted treatment.
  • It reduces the need for extensive work-ups in many cases, particularly for benign paroxysmal vertigo.