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GP MANAGEMENT ALGORITHM
Other Causes of
Dizziness
Ear Examination
NO
CONSIDER: Medication
review; cardiovascular
causes
Head Trauma
YES
Consider CVA
Cerumen/Foreign Body?
Otitis Media
NO
REMOVE
FEVER ?
Guidelines)
Cholesteotoma
or SCHHS)
YES
Dix-Hall
Pike
Manoeuvr
NEGATIVE
Vestibular Neuritis
Auditory Symptoms
NO
POSITIVE Benign
Positional
Peripheral Vertigo
Epley Manoeuvre
Annie Cramsie
Vestibular
Rehabilitation
(07) 5441 5366
YES
Menieres
disease or
labyrinthitis
TREAT (Refer to
therapeutic guidelines
)
YES
NO
Rule out
infection
CT Scan
NORMAL
Migraine ?
If Refractory to
Treatment REFER ENT
CT Scan
NORMAL Link to
MTBI
Guidelines
ABNORMAL
Refer
Emergency
Dept
ABNORMAL
Refer as
appropriate
e.g.
neurosurgery
The Dizzy patient: An evidence based diagnosis and treatment strategy. Emergency Medicine Practice
March 2001 Vol3, Number 3. Authors David C Piggott MD and Christopher J Rosko MD FACEP