If the complaint is of dizziness establish if it is vestibular—vertigo, episodic,
precipitated by change in position, associated nausea, vomiting, deafness
or tinnitus—or non-vestibular—‘light headed’, constant, associated with
hyperventilation, palpitations, syncope, sweating, pallor, headache.
Examine the nervous and cardiovascular systems carefully. Look at the
tympanic membranes. Check for orthostatic hypotension.
2 Meniere’s disease.
2 Acoustic neuroma or other cerebello-pontine angle tumour.