Author/Editor		Rotar-Pavlič, Danica
Title		Bolnik z vrtoglavico v ambulanti družinske medicine
Translated title		Dizzy patient: management in a general practice setting
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 43, št. Suppl 1
Publication year		2004
Volume		str. 99-104
Language		slo
Abstract		Vertigo is a false sensation that the surroundings are moving or spinning around the patient or that the patient is spinning. Usually, it is accompanied by nausea and loss of balance. People frequently describe it by using words like dizziness, faintness, weakness and lightheadedness. The feeling may last only a few moments or may continue for hours or even days. In this article, the author discusses the estimated incidence of vertigo and provides some recommendations on how to recognize and approach a dizzy patient in general practice. History taking and physical examination are the two basics steps in the management of vertigo. Treatment depends on the underlying cause. Various maneuvers are most often used to treat benign paroxysmal positional vertigo. Non-pharmacological approaches can be helpful in preventing episodes of vertigo.
Summary		Vrtoglavica je lažno občutje bolnika, da se vsa okolica vrti okoli njega, ali pa, da se on sam vrti v prostoru. Ponavadi jo spremljata slabost in motnja ravnotežja. Nekateri ljudje v opisovanju težav uporabljajo izraze, kot so omotica, omedlevica in občutek prazne glave. Težave lahko trajajo le nekaj trenutkov, več ur ali celo več dni. V prispevku je kratko podana ocena pojavnosti vertiga ter podrobna opredelitev pristopa k bolniku z vrtoglavico, kjer sta v ospredju dobro zajemanje zgodovine bolezni (anamneza) in klinični pregled. Le na takšni podlagi lahko zastavimo kolikor toliko uspešno zdravljenje, saj je le-to povezano s temeljnim povzročiteljem. Prikazani so tudi manevri (ponavljajoče se vaje), s katerimi ublažimo vertiginozne pojave pri benignem paroksizmalnem pozicijskem vertigu ter nefarmakološki ukrepi, ki preprečujejo morebitne ponovitve težav.
Descriptors		VERTIGO FAMILY PRACTICE