Vertigo: assessment and management.
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.
Packer
P
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Royal Perth Hospital.
D006801:Humans; D007759:Labyrinth Diseases / Q000150:complications; D008575:Meniere Disease / Q000150:complications / Q000628:therapy; D014717:Vertigo / Q000209:etiology* / Q000628:therapy