Examine the Ear in patient with Vertigo. Deal with anything you find
Otitis Media: If you see it, Dx and Tx it
Cerumenosis- If canal full of wax, lavage it to see if vertigo resolves
- Pearly-white growth, usually on superior aspect of TM
- Vertigo induced by Loud Noises
- Vertigo provoked by pressure on canal (push on tragus, look for nystagmus)
- Vertigo accompanied by pulsatile tinnitus
- Pt notes, “I can hear my eyes moving”
- Consider URI of Allergic Rhinitis
See posting Vertigo – 2.