Vertigo manifests with signs as if the environment around is spinning or moving. It is merely symptoms which range from being barely noticeable to the extreme where persons find it hard to keep balance and do everyday tasks. As such, patients visit healthcare centres to see the specialist for significant vertigo that causes them to lose balance. The medical providers should thoroughly evaluate and manage their vertigo before referring them to a specialist ( Bhattacharyya et al., 2017) . The potential causes of vertigo include Meniere's disease, vestibular neuritis, benign paroxysmal positional vertigo, anxiety, superior canal dehiscence syndrome, medical side effects, and migraine ( Hoppes et al., 2019) . Significantly, vertigo causes the patient to lose balance which could impact one's healthy life.
In handling a patient with significant vertigo, the patient will require a comprehensive evaluation before seeing a specialist. The medical provider must check the patient's history if he/she is under any medication that could be causing vertigo. They should make the patient understand why it is crucial to have them examined before seeing a specialist ( Choi & Kim, 2019) . This way, the medical team should be able to reach a correct diagnosis before treatment begins. The patient will undergo a complete evaluation of the possible causes, and the symptoms managed using medication or physical therapy depending on the diagnosis ( Hoppes et al., 2019) . For instance, if the patient has Meniere's disease, they will be put on meclizine, glycopyrrolate, or lorazepam, which can help relieve dizziness due to this condition. Likewise, the patient may be placed under physical therapy for balance sessions to manage the lost balance symptom. If there are no changes within the prescribed time, the patient will be referred to the specialist alongside the diagnosis made and medication they have been using ( Hoppes et al., 2019) . When the general practitioner cannot manage the patient's symptoms and conditions, they will refer the patient to a specialist for further evaluation and management.
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References
Bhattacharyya, N., Gubbels, S. P., Schwartz, S. R., Edlow, J. A., El-Kashlan, H., Fife, T., ... & Seidman, M. D. (2017). Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngology-Head and Neck Surgery , 156 (3_suppl), S1-S47. Retrieved from https://journals.sagepub.com/doi/full/10.1177/0194599816689667
Choi, K. D., & Kim, J. S. (2019). Vascular vertigo: updates. Journal of neurology , 266 (8), 1835-1843. Retrieved from https://link.springer.com/article/10.1007/s00415-018-9040-3
Hoppes, C. W., Klatt, B. N., Dunlap, P. M., Jacks, B., & Whitney, S. L. (2019). Management of benign paroxysmal positional vertigo in an adult with severe osteogenesis imperfecta. The Laryngoscope . Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.28431
