Quic SOAP of BPPV vs Meniere’s vs Neuromitis

SOAP BPPV MENIERE’S NEURONITIS

DISEASE

S ● Repeated ● 2 or more ● Recent history

episodes of spontanous of URTI or a
vertigo with vertigo flu-like
change in attacks lasting symptom
head position 20 mins - 24 ● Sudden onset
(triggered by hours of vertigo
day-day ● With described as
activities like sensorineural “room
rolling in bed ) hearing loss spinning”
● Rotatory on the ● Decreasing
vertigo affected ear intensity over
● lasting ≤1 ● (+) Tinnitus 24-47 hours
minute and/or ● No changes in
● Can be fullness of the hearing
associated ear
with nausea ● Nausea &
● (-) History of vomiting can
stroke/DM also occur

O ● (+) ● Otoscopic ● Head impulse

Dix-Hallpike findings may test: done to
test be normal but rule out
may also central
include pathology
previous signs
of
inflammation
or trauma
● Sensorineural
hearing loss

A ● BPPV ● Meniere’s ● Vestibular

Disease neuronitis

P ● routine ● May offer ● May offer

imaging is not audiogram vestibular
useful and suppressants
● Vestibular electronystan and vestibular
rehabilitation ogram rehabilitation
may be ● Lifestyle
offered modification:
diet
restrictions
● Medications:A
 ntivertigo,
antihistamines
, calcium
antagonists
●

References:

1. Probst, R., Grevers, G., & Iro. (2005). Basic Otorhinolaryngology. Georg Thieme Verlag
2. Bhattacharyya, N. MD, et al. (2017). Clinical Practice Guideline: Benign Paroxysmal
Positional Vertigo (Update). AAO-HNS. Vol. 156(3S) S1–S47
3. AAO-HNSF. (2019). Primary Care Otolaryngology
4. Abes, G. MD, et al. (2011). Clinical Practice Guidelines Vertigo in Adults - 2nd Ed.
Philippine Journal of Otolaryngology Head and Neck Surgery.