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Triage of progressive dizziness: a case report

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Abstract

The aim of this study is to discuss the role of the chiropractor in triage of a patient presenting with acute onset of worsening dizziness of unknown etiology. We present a 66-year-old-female who presented to a hospital-based chiropractic clinic with acute onset worsening dizziness with multiple comorbid conditions. Patient presented to the chiropractic clinic for routine management of low back pain; however, upon review of systems, the patient indicated symptoms as described above. The patient was immediately transported to the ED for further evaluation and work up by the appropriate medical professionals. Patient was admitted for observation with suspected intracranial hemorrhage. The role of the chiropractor in a multidisciplinary setting includes not only evaluation and management of musculoskeletal conditions, but also the identification of red flag signs and initiation of triage in efforts of providing complete and comprehensive, patient-centered care. This case report highlights the importance of detailed history, review of systems, and physical examination in an outpatient clinical setting, regardless of the specialty of the practitioner.

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Authors and Affiliations

  1. VA Central Iowa Healthcare System, Des Moines, IA, USA

    H. L. Meeks, M. C. Jordan & N. A. Hinkeldey

  2. Palmer College of Chiropractic, Davenport, IA, USA

    H. L. Meeks, M. C. Jordan & N. A. Hinkeldey

Authors
  1. H. L. Meeks
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  2. M. C. Jordan
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  3. N. A. Hinkeldey
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All authors read and approved the final manuscript.

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Correspondence to H. L. Meeks.

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Meeks, H.L., Jordan, M.C. & Hinkeldey, N.A. Triage of progressive dizziness: a case report. SN Compr. Clin. Med. 3, 2042–2046 (2021). https://doi.org/10.1007/s42399-021-00878-4

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