This site is intended for healthcare professionals

Sign in
Go to /sign-in page

You can view 5 more pages without signing in

Clinical diagnosis

Authoring team

diagnosis

Meniere's disease is a clinical diagnosis. Patients usually present with episodic dizziness.

  • acute episodes of vertigo should be differentiated from non-rotatory dizziness
    • ask the question "did you just feel lightheaded or did you see the world spin around as though you just got off a playground roundabout?

      • no - then could be presyncope, lightheadedness, and disequilibrium in elderly people

      • yes - rule out "red flags" suggesting brainstem stroke or other central signs, do confirmatory test to rule out other common causes of vertigo

        • Hallpike manoeuvre - for benign positional vertigo, head thrust test - for acute vestibular neuritis

        • if both are negative consider
          • vestibular migraine - if vertigo plus migraine is recurrent
          • Meniere's disease - transient unilateral hearing loss or tinnitus, and previous episodes of dizziness

Reference:

Create an account to add page annotations

Create a free account

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.