Inventory of “sickness” in various departments, which department should I go to see a doctor when I am dizzy?

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It’s often seen in the emergency department, “Doctor, I’m so dizzy. I saw the neurology department and said I’m not Cerebrovascular disease. After seeing the orthopedic department, they said that I do not have a disease of the cervical spine, and the cardiologist said that I do not have a cardiovascular disease either. Which department should I see a doctor?”

It occurs in 5% to 10% of outpatients and emergency departments. Patients often turn to otolaryngology head and neck surgery, neurology, orthopedics, vascular surgery, cardiology, geriatrics, emergency department and other departments. Which department should be treated depends mainly on whether the cause can be accurately determined.

The definition of dizziness is difficult for everyone to understand, it refers to the feeling of impaired or impaired spatial orientation, a false or distorted feeling without movement, i.e. the feeling of no or non-rotation . Patients often describe dizziness as being dizzy, dizzy, or foggy.

Vertigo is mainly manifested as an internal or external sense of rotation and swing. Often accompanied by nausea, vomiting, often abruptly and with marked fear. Use the table below to briefly explain the classification and symptoms of vertigo.

Understand the difference of “sickness”, let’s introduce them in turn according to the characteristics of “sickness” in each department.

Patients with vertigo who require an orthopedic visit often have a sense of rotation, which is mostly sudden, Often closely related to head and neck rotation. Often accompanied by occipital pain, nausea, vomiting, tinnitus, visual flashes, upper limb numbness, and even cataplexy. Most of the patients have a history of cervical spondylosis, which is common in vertebral artery type cervical spondylosis.

In addition to vertigo, patients with vertigo who require neurosurgery also have symptoms of intracranial hypertension such as headache, nausea, vomiting, and mastoid edema As well as cranial nerve damage, limb dysfunction and other manifestations, it is common in intracranial space-occupying lesions.

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In addition to diplopia, patients with vertigo who need to visit an ophthalmologist , Nystagmus. The symptoms of vertigo disappear immediately after closing the eyes. Commonly caused by ophthalmoplegia and refractive error (astigmatism).

Past patients who need to be dizzy prior to medical treatment History of hypertension, hypotension, heart failure, myocardial infarction, arrhythmia, etc.For example, patients with hypertension often have headache and dizziness in addition to dizziness. If dizziness is accompanied by pain in the precordial area, palpitation, heart discomfort, more attention should be paid to, and time to see a doctor.

When you go to the doctor because of vertigo, strong>

How should the condition be described?

First, you need to explain to your doctor the circumstances under which you experienced the vertigo , whether it has anything to do with body position, whether it can be tolerated, whether the dizziness has a panic attack in a confined space, whether the dizziness persists, how long it lasts each time, under what circumstances will it aggravate or relieve, and whether it will affect hearing during the attack , whether the consciousness is clear, and whether there are other systemic diseases (such as hypertension, cervical spondylosis, coronary heart disease, cerebral infarction), etc. These can not only help you judge which department to go to first, but also give The doctor provides a detailed medical history, so that the doctor can diagnose and treat the disease faster.

After reading the above content, I hope you can accurately describe your situation to the doctor next time you are “dizzy”, so that the doctor can get a preliminary diagnosis prompt, and quickly Find the right department.

Source of content:

People Health Publishing House published “Listen to me about ear health”

Editor-in-chief: Wang Ningyu Du Jingyan

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