Is The Sudden Onset of Dizziness A Symptom of Acute Liver Dysfunction?
Is The Sudden Onset of Dizziness A Symptom of Acute Liver Dysfunction?
Dizziness is one of the most common complaints among patients admitted to the emergency
 department (ED). In most cases, the etiology remains unclear. Dizziness has a broad
 differential diagnosis. The initial symptoms of ALD can include many general complaints. Aim
 of this study is to investigate whether SOD is a symptom of ALD, the necessity of liver
 function tests for patients with SOD in the ED, and a cost analysis of liver function tests.
Dizziness is one of the most common complaints among patients admitted to the emergency
 department (ED). In most cases, the etiology remains unclear. Dizziness has a broad
 differential diagnosis. The initial symptoms of ALD can include many general complaints. The
 diagnosis of acute liver dysfunction (ALD) can usually be made by initial symptoms, physical
 examination, and biochemical tests, including liver function tests (LFTs) with high
 sensitivity and specificity. LFTs include albumin, bilirubin, coagulation factors (Activated
 Partial Thromboplastin Time (aPTT) and International Normalized Ratio (INR)), and liver
 enzymes, such as alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline
 phosphates (ALP), and y-glutamyl transpeptidase (GGT), which are marker of hepatic damage.
 Aim of this study is to investigate whether SOD is a symptom of ALD, the necessity of LFTs
 for patients with SOD in the ED, and a cost analysis of LFTs.
Inclusion Criteria:

 1. Adult patients who were experiencing sudden onset dizziness of unknown etiology for the
 first time were included in the study

 Exclusion Criteria:

 1. Patients with a history of chronic diseases such as any liver disease,diabetes
 mellitus, hypertension,congestive heart failure, hepatitis B or C infection

 2. Patients with any central dizziness attacks

 3. Patients with hemodynamically unstable and emesis;

 4. Patients receiving drugs that could affect liver function tests, such as,
 acetaminophen, antibiotics, oral contraceptives, antihypertensive drugs (e.g.,
 angiotensinconverting enzyme inhibitors), or hormones (e.g.,estrogen)

 5. Patients who was experienced dizziness with systemic diseases

 6. Patients with any neurological disorders

 7. Patient who do not want to participate in the study