vertigo_peripheral 0 -Working Diagnosis:Evaluation for dizziness – Ddx:(evaluation includes but was not limited to):vertigo peripheral,vertigo central,presyncopesyncopecardiogenic presyncopeneurogenic presyncopevasovaguel response – ED Course:Improvement after meclizine. Ambulatory with steady gate. Normal neuro exam.Re-evaluation after above interventions/observation: improvedRequesting to go home. – Pertinent Diagnostics Contributory toMDM:Hx is consistent with vertigo. Not consistent with presyncope.- Therapeutically:meclizine MDM: DIAGNOSIS: Peripheral vertigo RATIONALE:Suspected given evalc/w peripheral vertigo,Specifically:– intermittent,– hx of perhipheral vertigo,– provocation by position,– abrupt onset and resolution,– no high risk factors for central process,– no concerning for central process given resolution of sx– hxnot consistent with presycope/syncopeHx is consistent with vertigo. Not consistent with presyncope. Not c/w central vertigo and does not meet sufficient criteria where nuero consult orMRI would be of diagnostic utility. While a central process cannot be definitely excluded at this time, shared decsion making utilized and mutual agreement for discharge with strict follow up and return precautions. – other pathology entities sufficiently excluded.Evaluation was not sufficiently consistent the following entities to meet threshold for ED further diagnostics/interventions making risks outweigh benefit of further diagnostics/interventions for the patient i.e. not consistent with these conditions(consideration included but limited to these conditions) given above rationale:vertigo central,presyncope, syncope,cardiogenic presyncopeneurogenic presyncopevasovaguel responsePlan:Discussed return precautions with pt including but not limited to lack of improvement, worsening sx, developing new sx,Dispo:home, prompt PMD f/u, return to EDprecautionsspecific for this process.