Said Mogutham Nur Nazleen, Abdullah Jafri Malin, Idris Zamzuri, Ghani Abdul Rahman Izaini, Abdul Halim Sanihah, Naesarajoo Jonathan Joseph J, Ooi Lin-Wei, Abdullah Mohamad Muhaimin, Ahmad Sukari Aiman Ashraf
Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Center for Neuroscience Services and Research, Universiti Sains Malaysia, Kelantan, Malaysia.
Malays J Med Sci. 2020 Dec;27(6):89-101. doi: 10.21315/mjms2020.27.6.9. Epub 2020 Dec 29.
Dizziness is a common presenting complaint among patients in Malaysia. It is a vague term which could be associated with vertigo, imbalance, ataxia or syncope. In order to deal with this overwhelming complaint, a detailed history-taking is essential in confirming aetiology of disease and this should be followed by a meticulous clinical examination. The purpose of the video manuscript it to provide a step-by-step approach to a dizzy and swaying patient, specially catered for Malaysian medical students and trainees.
A series of videos were shot, which involved the eye, ear, vestibular system, cerebellar, proprioceptive sense and gait examination. These videos, conducted in Universiti Sains Malaysia (USM) School of Medical Sciences, will be first in Malaysia and will highlight the proper technique and rapport with patients and essential points of each examination. There will be summary at the end of each examination on how to report findings which is a common weakness among students.
We hope that students and junior doctors could be apply these methods in their daily assessment of dizzy patients and ultimately, reach an accurate diagnosis.
头晕是马来西亚患者常见的就诊主诉。这是一个含义模糊的术语，可能与眩晕、失衡、共济失调或晕厥有关。为了应对这一常见主诉，详细的病史采集对于确定病因至关重要，随后应进行细致的临床检查。本视频文稿旨在为头晕和摇摆不定的患者提供逐步检查方法，特别适合马来西亚医学生和实习生。
拍摄了一系列视频，内容涉及眼部、耳部、前庭系统、小脑、本体感觉和步态检查。这些在马来西亚理科大学（USM）医学科学学院进行拍摄的视频，将是马来西亚首个此类视频，将突出正确的检查技术、与患者建立融洽关系以及每项检查的要点。每次检查结束时将有关于如何汇报检查结果的总结，这是学生们普遍存在的薄弱环节。
我们希望学生和初级医生能够在日常对头晕患者的评估中应用这些方法，最终实现准确诊断。
