How is an initial exam conducted in a dizziness evaluation?

Updated: Jun 26, 2018
  • Author: Wayne T Shaia, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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The initial exam in a dizziness evaluation is conducted as follows:

  • Perform a complete examination of pertinent systems, such as the cardiovascular and neurologic systems (especially cranial nerves), before proceeding to specific office tests of the vestibular system. For example, if a patient experiences presyncope, perform auscultation of the heart and cervical vessels, and determine orthostatic blood pressure and pulse.

  • Examine the ears for a retracted or perforated tympanic membrane or cholesteatoma. Assess hearing in both ears.

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