ASSESSMENT PROTOCOL FOR PROBLEM ON DIZZINESS: ADULT PATIENT (Logic Tree No. 24) D(RECI· 10N: Determine/identify which of the following symptoms/signs (S/S) history data (Hx D) are present and follow the flowchart for the appropriate plan~~ management. RED YELLOW GREEN S/S or Hx D S/S or Hx D S/S or Hx D Patient had head Injury Severe dizziness (patient had MIid earache-beforedlulnes. s started to stay In bed) Mild hearing loss Diulne_s~ is continuou s-and Marked weight loss Runny nose gradually becomes · worse Nausea and/or vomiting Nasal obstruction Projectile vomiting Seeing black or white spots Oiuiness occurred s-everal Blurring of vision Ear pain and/or discharge hours after eating or after A new, different or severe Mild hearing loss intake or tranquili:i:er or headache Ringing In the ear medicine ror diabetes Severe hearing loss Change In the patient's Dizziness occurrlng wh~ne-ver Very stiff neck behavior noted by family patient rides a vehicle Slurred speech or diffic-u1tv of and fri~nds (v3r, bus. etc. ) or a moving speaking Pati<ent Is we-a ring eyeglasses object Numbnes s or tlngllng (or used to wear one} Dizziness occurring when sensation Patient used lo have fainting there is sudden,hanges In Muscle weakness spells [epilepsy} position Wt!akrle. ss of leg muscles, Pati enl is a he41vy drinker One-sided hea. dache manifested as r-atling or Temperature of 390C and Attack Is preceded by an aura diffit. ult-y in w-ctlking above {seeing stars or flashes of Chest. pain P. Jtient has unsteady gait light, exces-siv. e yawnlng, Patient is confused (doesn't,or his re. et are far apan etc. } know his name, where when walkfng in an Patient is hyperventi lating as he i5 or what day it s> or attempt to maintain h1s a result· of anxiet Y patict\t is uncoscious balance Patient ts alert and calm a,o. od pressure either very Irregular pulse rate (one to six On ctnd off diuiness with high (above 100mm mis. sed beats per minute) the patient completely mercury diastolic} or very especially If patient has symptom free in t,etween low (ootv pal_patorv blood heart problem attacks pres1ure can be felt) lncoordination in the Pattent has not hc1d enough Hean rate is very fast or slow movementoftht'! ~Vl!S sleep for the pasr few "ery irregular(more than Patient squints when reading days sb mined be. at. s/minute) or took. Ing-at a picture or Temperature of 37. 5°C to puts readfng material far 38. 9°C from him or to near his Great difference between face, lying and sitting clla<tollc pressure Pale nan bells. lips and Inner c1. spect Of the eyelids -