TAILIEUCHUNG - Oxford Handbook of Clinical and Laboratory Investigation

If the complaint is of dizziness establish if it is vestibular—vertigo, episodic, precipitated by change in position, associated nausea, vomiting, deafness or tinnitus—or non-vestibular—‘light headed’, constant, associated with hyperventilation, palpitations, syncope, sweating, pallor, headache. Examine the nervous and cardiovascular systems carefully. Look at the tympanic membranes. Check for orthostatic hypotension. Vestibular causes 2 Labyrinthitis. 2 Meniere’s disease. 2 Acoustic neuroma or other cerebello-pontine angle tumour. Investigations 2 Hallpike manoeuvre (. | Oxford Handbook of Clinical and Laboratory Investigation Drew Provan Andrew Krentz OXFORD UNIVERSITY PRESS OXFORD MEDICAL PUBLICATIONS Oxford Handbook of Clinical and Laboratory Investigation 3HRMFIP Oxford University Press makes no representation express or implied that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated drug doses and recommendations are for the non-pregnant adult who is not .

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