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Dizziness on Airplane 

Dizziness on Airplane
Dizziness on Airplane
Acute Care Casebook

Justin T. Pitman


There is a broad differential for dizziness in any environment. Assessing a thorough history, concurrent medical problems, and careful physical examination can often narrow the possible causes significantly. In the setting of ear pain and recent altitude or pressure change, barotrauma should be suspected. Although most care is supportive, including the use of nonsteroidal anti-inflammatory drugs, the Frenzel maneuver and decongestants can help equilibrate inner ear and atmospheric pressures. This chapter examines the case of a woman who presents to the emergency room with ear pain following a recent airplane trip and addresses the patient history, details of the physical exam, diagnosis, and treatment plan.

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