title: Vertigo: assessment and management.
abstract: Elucidation of the cause of vertigo must consist of an adequate history to see if a clinical entity such as BPPV or Meniere's Disease can be recognised, and a general physical examination with emphasis on: The ear--discharge, perforation, fistula sign and hearing. Vestibular system--nystagmus and Romberg test with past pointing and positional testing. CNS--cranial nerves, cerebellar signs and gait. CVS--BP and bruits in neck and cardiac irregularities. Audiogram, ENG and CT or MRI. The specific treatment must be supplemented by sympathetic, symptomatic therapy and reassurance that the condition is not a mystery but clearly defined. The probable cause and lines of treatment available can be explained.
authors.affiliation: Royal Perth Hospital.
authors.forename: P
authors.initials: P
authors.lastname: Packer
mesh_terms: D006801:Humans; D007759:Labyrinth Diseases / Q000150:complications; D008575:Meniere Disease / Q000150:complications / Q000628:therapy; D014717:Vertigo / Q000209:etiology* / Q000628:therapy