• Med. Clin. North Am. · Sep 2021

    Review

    Vertigo: Streamlining the Evaluation through Symptom Localization.

    • Kimberley S Noij, Scott B Shapiro, Ravi N Samy, and James G Naples.
    • Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA; Department of Otolaryngology Head and Neck Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
    • Med. Clin. North Am. 2021 Sep 1; 105 (5): 901-916.

    AbstractVertigo is defined as the illusion of internal or external motion. The evaluation of a patient with vertigo in the primary care setting should not necessarily focus on providing a specific diagnosis. Rather, the physician should aim to localize the lesion. This practice streamlines the workup of patients. This article provides detailed information regarding appropriate organ system-based clinical history and the clinical workup of vertigo. Additional signs and symptoms that can facilitate appropriate referral and treatment are highlighted. Although disorder-specific treatments exist the mainstay of therapy for vertigo-induced pathology is physical therapy.Copyright © 2021 Elsevier Inc. All rights reserved.

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