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A 7 2 -year - old fem a le , Mary , is presenting with dizziness .

A 7 2 -year - old fem a le , Mary , is presenting with dizziness . What ' s the first appropriate question ?. Did you drive you r self today ?. How often does this happen?. What do you mean b y " dizziness ? ". A 7 2 -year - old fem a le , Mary , is presenting with dizziness .

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A 7 2 -year - old fem a le , Mary , is presenting with dizziness .

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  1. A72-year-oldfemale,Mary,ispresentingwithdizziness. What'sthefirstappropriatequestion? Didyoudriveyourselftoday? How often does this happen? Whatdoyoumeanby"dizziness?"

  2. A72-year-oldfemale,Mary,ispresentingwithdizziness. What'sthefirstappropriatequestion? INCORRECT Didyoudriveyourselftoday? How often does this happen? Whatdoyoumeanby"dizziness?" Althoughthisprovidesasubjectiveassessmentofthefunctionallimitationsandseverity,itisnotthemostrelevantinitialquestion.

  3. A72-year-oldfemale,Mary,ispresentingwithdizziness. What'sthefirstappropriatequestion? Didyoudriveyourselftoday? INCORRECT How often does this happen? Whatdoyoumeanby"dizziness?" Althoughthisprovidesasubjectiveassessmentoftheseverityandperiodicity,itisnotthemostrelevantinitialquestion.

  4. A72-year-oldfemale,Mary,ispresentingwithdizziness. What'sthefirstappropriatequestion? Didyoudriveyourselftoday? How often does this happen? CORRECT Whatdoyoumeanby"dizziness?" Itisimportanttodifferentiatetruefromfalsedizziness(lightheadedness,malaiseorpre-syncope). Truedizzinessreflects: *difficulties maintaining balance (imbalance or disequilibrium) *the patient's perception of motion of self relative to surroundings or vice versa (vertigo) False dizziness is usually indicative of: *cardiovascular perturbations (hypotension, anemia, cardiac arrhythmias, vascular insufficiency, autonomic dysfunction) *iatrogenic (medications) *psychological (anxiety, phobia)

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