HOW to evaluate Vertigo 
#Vertigo + hearing loss +h/o upper RTI like Common cold (association)
= Labyrinthitis;
#Vertigo +hearing loss+symptom free interval +tinnitus+aural fullness, diplacusis(association)
= Meniere’s Disease
#Vertigo+hearing loss(unilateral, progressive) +tinnitus+facial & ear numbness(association)
=Vestibular Schwannoma
#Vertigo+h/o upper RTI like common cold (association)
=Vestibular Neuritis
#Vertigo+symptom free interval +aura,vision changes
=Migraine
#Vertigo+symptom free interval + positional association
=BPPV(Benign paroxysmal positional vertigo)
#Vertigo+mild hearing loss+lessens with rest,worsen with activity +tinnitus variable +associated with trauma
=Perilymph Fistula
#Vertigo+conductive hearing loss (all other cases sensory hearing loss) +tinnitus variable +Otorrhea,perforated tympanic membrane
=Chronic Otitis Media
INVESTIGATIONS :
♂
*MRI -(migraine, meniere’s,schwannoma)
♂Mnemonic : MMS
*ENG-(v.neuritis, labyrinthitis)
♂Mnemonic : itis
*pneumatic otoscopy - perilymph fistula
♂Mnemonic : P for P
*Hallpike- BPPV
*CT - Chronic otitis media
♂Mnemonic : C for C
[Nausea, vomiting present in all case except (perilymph, schwannoma, chronic otits media)