What is the best way to evaluate vertigo presenting in primary care?
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A thorough history and a physical examination that includes a Dix-Hallpike maneuver is likely sufficient to evaluate most patients with uncomplicated vertigo in the office setting. Further workup using laboratory testing or neuroimaging is indicated only when the etiology is unclear or the primary evaluation suggests an etiology outside the middle ear. (SOR B, based on cohort studies.)
Evidence Based Practice 12(8): 11-12.