Vertigo

Presenting History: - [describe onset of symptoms] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include nature of onset such as suddenness, progression, or duration where stated.) - [describe cardiorespiratory or postural symptoms] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include symptoms such as chest pain, shortness of breath, palpitations, dizziness on standing or syncope if present.) - [describe neurological symptoms] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include motor, sensory, visual, coordination, or speech-related symptoms if mentioned.) - [describe head, neck, or facial pain] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include location, severity, and timing of any reported pain in the head, neck, or face.) - [describe ENT-related symptoms] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include any reported hearing changes, tinnitus, aural fullness, or ear pain.) - [describe other systemic symptoms] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include symptoms such as fever, back pain, abdominal pain, urinary complaints or generalised malaise if relevant.) - [describe relevant trauma history] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include recent trauma, head injury, or chiropractic manipulation involving the neck.) - [describe vertigo characteristics] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include details of timing, duration, positional triggers, severity, and associated symptoms such as nausea or vomiting.) Past Medical History: - [summarise past medical history] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include relevant comorbidities such as cardiovascular, neurological, or endocrine conditions.) - [list current medications] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write as list.) - [list known allergies] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write as list.) Vital Signs: - [document vital signs] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include heart rate, respiratory rate, blood pressure, temperature, and blood glucose level if available.) Neurological & Vestibular Examination: - [document neurological examination findings] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include findings related to cranial nerves, limb tone, reflexes, coordination, sensation or gait.) - [document HINTS exam findings] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include results for head impulse test, nystagmus type, and skew deviation where performed.) Balance Assessment: - [describe findings from balance examination] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include results of any performed balance assessments such as Romberg, Tandem gait, Dix-Hallpike or Unterberger test.) - [document results from balance-related investigations] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include imaging or audiovestibular investigations if relevant.) - [describe significant abnormalities or pathology] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include descriptions of findings suggestive of central or peripheral vestibular dysfunction.) - [document performance on balance tests] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include observations about steadiness, sway, falls, or other deficits during testing.) Red Flag Screening: - [summarise presence or absence of red flags] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include findings suggestive of stroke, PE, meningitis, or serious intracranial pathology.) Clinical Impression: - [state clinical impression] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences.) Management Plan: - [document treatment or management plan] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include treatments, prescriptions, watchful waiting, or discharge plans.) - [document safety netting and escalation advice] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit section entirely. Write in full sentences. Include instructions on what symptoms to monitor, when to seek further medical attention, or emergency action advice.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or section blank. Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)