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Assessment and Diagnosis of Vertigo The first step in managing vertigo is accurately diagnosing it

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Tends to be high frequency (hissing, crickets) and may be caused by barotrauma, head trauma, valsalva (plugging the nose and forcefully blowing out to make the ears "pop"), and erosion to the bony labyrinth caused by inflammatory or neoplastic processes or following middle ear surgery (stapedectomy)

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