In article <4glk1l$djc at newsbf02.news.aol.com>, asbfun at aol.com says...
>> I am wondering if anyone out there has list of "official" ENG diagnoses.
>When writing reports, I am at a loss as to whether to term a condition
>"vertigo" or "nystagmus".
Neither are conditions. Vertigo is not a diagnosis, it's a perception of
circular movement. Thus you can have vertigo after you get off a
merry-go-round, without having disease. Nystagmus refers to a pattern of eye
movements only, not a disease, condition or perception.
>Also, what format do you use for the report?
It really depends on whom you're writing the report for. If the referring
physician is familiar with ENG terminology, you can simply present the test
results and let the doc make inferences. In our case, we accept referrals from
anywhere, so we can't assume the the referring doc knows anything about ENG
testing or it's limitations and pitfalls. Thus we do our reports in the
following format.
PATIENT HISTORY AND SYMPTOMS: (because that's where the majority of diagnoses
are made. We get over an hour to ask the patient history questions during an
ENG, while the doc usually only has 15-30 minutes. History is CRITICAL to
diagnosis, so we fill out a 2-page history on every patient, and summarize it
in the report)
IMPRESSIONS: (this is where we call it peripheral or central based on test
findings.
RECOMMENDATIONS: (i.e Otology, Neurology, Radiology, etc consults, ABR,
Vestibular Rehab, etc.)
SECOND PAGE
TEST RESULT DETAILS:
ENG
COMPUTERIZED OCULOMOTILITY
ROTARY CHAIR
DYNAMIC POSTUROGRAPHY
We put this stuff on the second page because most of our referring docs don't
want to see it, and don't know what the numbers mean anyway.
>Amy S. Bannerman
>ASB FUN at aol.com
