HISTORY:

VERTIGO

• Swaying:
• Lightheadedness:
• Turning to right/left:
• Falling to right/left:
• Blackouts:
• Surrounding objects moving / true spinning:
• Loss of consciousness:

OTHER SYMTOMS:

• Sweating
• Nausea
• Vomiting

PRECIPITATING FACTORS:

• SMotion:
• Turning head
• Bending down
• Standing up
• Gazing right/left

DURATION OF SYMPTOMS:

• Hours
• Days
• Weeks
• Months
• Years
• Decades

DURATION OF SINGLE ATTACK:

• Few Seconds
• Minutes
• Hours
• Days
• Weeks
• Months
• Persistent

VISUAL DISTURBANCES:

• Blurring of Vision
• Diplopia

EAR SYMPTOMS:

• Tinnitus
• Deafness
• Aural fullness

HISTORY OF DRUG INTAKE:

HISTORY OF OTOLOGIC SURGERIES:

HISTORY OF HEAD/EAR TRAUMA:

HISTORY OF SYSTEMIC ILLNESS:

• Hypertension:
• Diabetes Mellitus
• Cardiac illness
• Renal disease

CLINICAL EXAMINATION:

EXAMINATION OF EARS:

• Tympanic Membrane
• Facial nerve status
• Tuning Fork Test
  • Rinne's Test
  • Webers Test
  • ABC
• Tests for equilibrium and co- ordination:
  • Romberg's test
  • Gait Test
  • Unterberger's Test
  • Past pointing
  • Finger Nose Test
  • Rapidly alternately task test
• Tests for Spontaneous eye movements:
  • Nystagmus:
  • Plane- Horizontal/ Vertical/ Rotatory
  • Direction- Fixed/ Changing
  • Degree- First/Second/Third
  • Type- Monocular/ Convergence/Divergence/See-saw/Up-beating/Down-beating
    • Opsoclonus
    • Pendular eye movements
    • Ocular bobbing
• Tests of induced Nystagmus:
  • Gaze Test
  • Positional Test
  • Fistula Test