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Table 5 Documentation of general and dizziness subtype-specific quality indicators in history and physical examination for Patients with Vertigo, Lightheadedness, Disequilibrium and Others

From: Assessment of dizziness among older patients at a family practice clinic: a chart audit study

  

Yes

No

Not Documented

General (n = 50)

Postural BP changes

6%

44%

50%

 

Associated Depression

6%

8%

86%

 

Associated Anxiety

14%

0%

86%

 

Falls

6%

30%

64%

 

Syncope

2%

36%

62%

Vertigo (n = 13)

Episode Duration

38%

N/A

62%

 

Relationship to Head Turning

38%

8%

54%

 

Tinnitus

23%

54%

23%

 

Hearing Loss

0%

0%

100%

 

Ear Examination

39%

(Normal:31%)

(Abnormal:8%)

N/A

61%

 

Neurological Exam

92%

N/A

8%

 

Spontaneous Nystagmus

46%

(Normal 38%)

(Abnormal 8%)

N/A

54%

 

Hallpike Manoevre

39%

(Normal 8%)

(Abnormal 31%)

N/A

61%

Lightheadedness (n = 20)

Relationship to Postural change

55%

15%

30%

 

Chest Pain

5%

60%

35%

 

Palpitation

5%

55%

40%

 

Syncope

5%

50%

45%

 

Orthostatic drop in BP

10%

55%

35%

 

Orthostatic rise in pulse

0%

15%

85%

Disequilibrium (n = 19)

Falls

11%

32%

57%

 

Gait examination

58%

(Normal: 26%)

(Abnormal:32%)

N/A

42%

 

Neurological exam

68%

N/A

32%

 

Romberg's sign

42%

(Normal: 37%)

(Abnormal: 5%)

N/A

58%

 

Cerebellar signs

47%

(Normal: 42%)

(Abnormal: 5%)

N/A

53%

 

Visual acuity exam

10%

(Normal: 5%)

(Abnormal: 5%)

N/A

90%

Others (n = 12)

Depression

0%

25%

75%

 

Anxiety

25%

0%

75%

  1. N/A: Not Applicable