Birinci Basamakta Vertigoya Genel Yaklaşım

Öz

Baş dönmesi, birinci basamak sağlık hizmeti ziyaretlerinin yaklaşık %5'ini oluşturmaktadır. Vertigonun senkop, dengesizlik veya sersemlik hissi gibi diğer baş dönmesi türlerinden ayırt edilmesi doğru tanıyı koymak için önemlidir. Genç hastalarda vertigo genellikle iç kulak patolojisinden kaynaklanır. Yaşlı yetişkinlerde daha kapsamlı ve hedefe yönelik değerlendirme önemlidir, çünkü bu popülasyonda daha sık olarak morbidite ve mortaliteye neden olabilecek santral nedenler daha fazla görülür. Bu derlemede birinci basamakta vertigonun ayırıcı tanısının daha etkili yapılabilmesi için tanısal yaklaşımlardan bahsedilmiştir.

Anahtar Kelimeler

• Baş dönmesi
• dengesizlik
• inme
• nistagmus
• vertigo

General approach to vertigo in primary care

Öz

Vertigo and dizziness accounts for approximately 5% of primary care visits. Differentiating vertigo from other types of dizziness symptoms, such as syncope, imbalance, or lightheadedness, is crucial for accurate diagnosis. In younger patients, vertigo is often caused by inner ear pathology. In older adults, targeted assessment is critical, as central causes, which can lead to increased morbidity and mortality, are more common in this population. This review discusses diagnostic approaches to more effectively differentially diagnose vertigo in primary care settings. Keywords: dizziness, imbalance, stroke, nystagmus, vertigo

Anahtar Kelimeler

• d!zz!ness
• !mbalance
• stroke
• nystagmus
• vert!go.

Kaynakça

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