<aside> <img src="/icons/square_gray.svg" alt="/icons/square_gray.svg" width="40px" /> “Yes, when I [move in specific directions or make in certain maneuvers].”

</aside>

Make note of this. This may suggest BPPV or another vestibular condition. You may need to make a referral to an ENT/an audiologist that specializes in vestibular. Continue.

<aside> <img src="/icons/square_gray.svg" alt="/icons/square_gray.svg" width="40px" /> “Yes, when I fly/we’re riding on sharp hills/[any rapid change in air pressure].”

</aside>

STOP.

• If symptoms are severe, make a referral to ENT/vestibular audiologist. Continue with case history and testing only if they okay it.
• If symptoms are mild, make note of this. It may still suggest a fistula, dehiscence, Meniere’s diseases, or other vestibular condition. Refer to an ENT/vestibular audiologist. Continue with case history and testing only if they okay it.

<aside> <img src="/icons/square_gray.svg" alt="/icons/square_gray.svg" width="40px" /> “No. It just happens.”

</aside>

<aside> <img src="/icons/square_gray.svg" alt="/icons/square_gray.svg" width="40px" /> “I don’t know.”

</aside>

Make note of this. It may suggest a vestibular condition, or it could be related to head or ear injuries, a middle ear condition/other infection, motion sickness, seizures, or effects from certain medications. You may need to refer to an ENT/vestibular audiologist. Continue.