Dizziness is one of the most common symptoms presented by patients to doctors. It may be a symptom of auditory, neurological, psychological or eye disease, for example, but is often poorly diagnosed or understood. This guide to balance and giddiness is designed for the family doctor, junior hospital doctor, medical student or student of audiology or audiological medicine. It begins by discussing normal balance, and how inputs from ears, eyes and the proprioceptors of muscles and joints are integrated in the brain stem so that body posture and steady vision can be maintained. Subsequently, signs, symptoms and physical examination are discussed. For example, the section on ear disease considers middle ear disorders, both acute infections and chronic disease, and inner ear conditions such as Meniere's disease, benign positional vertigo and vestibular neuronitis. Appropriate management and indications for referral are then discussed.
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