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Dizziness (Non-Vertiginous (Pre-syncope (Others (Hyperventilation, Anemia,…
Dizziness
Non-Vertiginous
Pre-syncope
Cardiogenic
-Light-headed as if they are going to black out.
-Weakness, palpitations, SOB
-Dx: tilt table test
-If arrhythmia, 24 hr Holter
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Psychogenic
-Chronic anxiety, panic disorder, phobic giddiness
Vertigo
Central
-Gradual onset
-No hearing loss
-No tinnitus
-Neighborhood signs
-Vertical nystagmus (Brain stem tumor, ischema, bleed, drug overdose
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Neighbourhood signs (5D's)- Brain stem lesions
-Dizziness
-Diplopia
-Dysarthria
-Dysphagia
-Dysmetria
-Long tract findings (sensory or motor deficits)