In a South Korean trial of patients with previous cases of benign paroxysmal positional vertigo, 72.4% of those randomized to a web-based diagnostic questionnaire and a video explaining the canalith repositioning maneuver reported vertigo resolution.
24 Jan 2023
Because patients use these two terms to describe a broad range of sensations, the symptom can pose a diagnostic challenge.
1 Jan 2017
A single dose of antihistamine provided no greater benefit at two hours than ondansetron, droperidol, metoclopramide, or piracetam, and daily antihistamine treatment for a week or month had similar results to placebo.
26 Jul 2022
A 42-year-old woman is evaluated for occasional episodes of severe vertigo with nausea, vomiting, tinnitus, and a feeling of ear fullness.
1 Mar 2009
This week's quiz asks readers to evaluate a 79-year-old man who presents to the emergency department with vertigo that began suddenly about 1 hour before, associated with severe nausea and vomiting.
10 Jul 2012
The most common ear, nose, and throat conditions of sinusitis, hearing loss, vertigo, and tinnitus can be evaluated and treated in the primary care office, but the internist must take care to work through the wide range of symptoms.
1 Nov 2017
An updated guideline from the American Academy of Otolaryngology—Head and Neck Surgery cautions that due to the variety of clinical presentations in patients with definite and probable Ménière's disease, a full and accurate diagnosis may take months to attain.
14 Apr 2020
A 76-year-old man is evaluated for recent worsening of balance. He has no dizziness or lightheadedness. The patient has an 8-year history of Parkinson disease treated with carbidopa-levodopa and entacapone. Findings from physical, cognitive, cerebellar, and sensory examinations are unremarkable. Which of the following is the most appropriate test to determine the patient's risk of falling backward?
3 Nov 2020
Patients with chronic vestibular syndrome were randomly assigned to a six-week internet-based intervention with weekly online sessions and 10 to 20 minutes of exercise a day, the internet-based intervention plus in-person physiotherapy support with home visits in weeks 1 and 3, or usual care.
12 Nov 2019
ACP Internist Weekly's cartoon caption contest continues. Readers can vote for their favorite caption to determine the winner.
28 Apr 2020