GEN-C Presents: Dizziness Differential Diagnosis – clues from the patient history and exam
Start: 11th September 2021
End: 11th September 2022
Dizziness, poor balance and vertigo are very common symptoms that present to a Chiropractor’s office. Their causes can be varied and often difficult to identify, ranging from cervical spine, inner ear, brain as well as anxiety and medication. Imaging and traditional Chiropractic examination is often insufficient in helping define the aetiology. The ability for a Chiropractor to be able to differentially diagnosis and then most appropriately manage or refer is critical for best patient outcomes.
Fortunately, a working diagnosis can be easily and competently sourced from the patients history and bedside examination. An evidence-based and best-practice recommended approach will be presented in this hands-on practical workshop.
A neurophysiological approach will be discussed, allowing the practitioner to narrow the differentials based on understanding of some basic neuroanatomy and physiology. A bedside examination will be demonstrated to differentiate dizziness originating from the cervical spine, inner ear (peripheral vestibular system), oculomotor systems as well as an acute cerebrovascular incident. This will include a series of tests referred to as Head-Impulse-Nystagmus-Test-of-Skew (HINTS) which is able to predict a stroke with 100% sensitivity and 96% specificity in patients with acute vertigo and at least one vascular risk factor
Identifying the cause(s) of dizziness can be complex and time consuming. This workshop serves to help the Chiropractor through the process.
Skills-based learning objective
Upon the completion of this workshop, participants will be able to:
- Utilize clues from the history to create a working/differential diagnosis
- Perform a bedside examination, assisting with the differential diagnosis of dizziness from the cervical spine, visual, vestibular and cerebrovascular incidents
- Identify patients in need of appropriate referral for co-management or medical emergency
- Describe types of vestibular related disorders
- Introduction – dizziness prevalence and role of Chiropractors
- Basic neuroanatomy and physiology – highlighting connectivity between cervical spine, vestibular system, balance and oculomotor systems
- A logical and physiological approach to history taking
- Bedside examination – theory and practical
Dr Carlo Rinaudo is a registered Chiropractor, researcher and educator from Sydney, Australia. He is the clinic director of a multi-disciplined clinic, focused on helping people with complex neurological conditions, including vertigo, concussion, migraines, learning and behaviour, dysautonomia, neuro-degenerative, performance-enhancement and post-stroke. He completed a PhD in Vestibular (balance) Rehabilitation at University of New South Wales (UNSW) and Neuroscience Research Australia (www.NeuRA.edu.au), and currently involved in further research in vestibular neuro-rehabilitation. Dr Rinaudo frequently presents and teaches practitioners across the world on similar topics.
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