Does Dizziness Cause You Diagnostic Disequilibrium?
Although most providers have developed a standardized approach for the evaluation of dizziness, the variation from one provider to the next is likely as vast as the difference in the ways patients report their symptoms.
For several reasons, including improved outcomes, utilization control, operational efficiency, and patient safety, it’s time to narrow the gap in practice variation.
Most cases of vertigo are benign and are not associated with serious pathology or likely to result in bad outcomes no matter what we do. However, the real key is to trim the diagnostic fat without becoming so diagnostically lean that you miss something important. One way, and perhaps the most common, is the shotgun approach (check all the boxes and let the tests guide you), and another is the dartboard approach (random selection of testing combinations based on gestalt). However, a rational approach to dizziness is available with a review of the evidence.