Department of Medicine E , MD Chronic （医学系的E MD慢性）.pdfVIP

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Department of Medicine E , MD Chronic （医学系的E MD慢性）.pdf

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Department of Medicine E , MD Chronic （医学系的E MD慢性）

THE WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY GERIATRICS FOR THE Division of Geriatrics PRACTICING PHYSICIAN Quality Partners of RI Department of Medicine EDITED BY ANA C. TUYA, MD Chronic Dizziness In Older Persons Aman Nanda, MD, CMD DS, an 85- year-old woman, complains of intermittent or disease in multiple systems.6,7,8 dizziness, and three falls over 6 months. She lives with her son, who witnessed the falls, which occurred in the home. There TYPES OF DIZZINESS has been no loss of consciousness or serious injury. She has hy- Dizziness is classically categorized into four subtypes: ver- 9 pertension, coronary artery disease, mild bilateral cataracts, tigo, pre-syncope, disequilibrium, and other. A fifth category chronic backache, diabetes mellitus, impaired hearing, and mild is ‘mixed dizziness’. cognitive impairment. She has been using a cane for 7-8 1. Vertigo is a spinning sensation, either of the patient with months. Mrs. S says sometimes she feels woozy and light-headed, respect to the environment (subjective vertigo) or of the other times she feels the room is spinning. The episodes usually environment wit