Be sure to perform a thorough head and neck examination in the dizzy patient, as the etiologic source is often due to ear, nose, and throat pathology, such as structural abnormalities, some of which may even signal a more widespread process
Such common physical examination findings may include the following:
cerumen impaction
otitis media with effusion
chronic otitis with otorrhea
chronic sinusitis with nasal airway obstruction
orophayrngeal findings consistent with sleep apnea
congenital abnormalities of the pinna, external auditory canal, and face may suggest labyrinthine involvement
