Dizziness Hx/PEx

Question 1

Key aspects of Hx:

Answer 1

1. Lightheadedness vs vertigo.
2. Auditory Sx (hearing loss, tinnitus).
3. Occurs w/ positioning?
4. Following trauma?
5. Other Sx ==> visual disturbances—URI—nause.
6. Neck pain/trauma.
7. H/o atherosclerotic disease.

Question 2

PEx:

Answer 2

1. Complete neuro + Romberg + nystagmus + tilt test (eg Dix-Hallpike) + Gait.
2. Hearing + Weber/Rinne.
3. ENT exam.
4. Heart.