Final answer:
When a patient presents with vertigo and recent onset of hearing loss, it is critical to provide a medical referral rather than fitting hearing instruments, as the symptoms may indicate an underlying condition like Ménière's disease.
Step-by-step explanation:
If a patient comes into your office wanting hearing instruments, but presents with vertigo and recent hearing loss, best practice dictates providing a medical referral. Considering that the onset of hearing loss occurred within the past 90 days and is accompanied by vertigo, there might be an underlying condition such as Ménière's disease, which can lead to sensorineural hearing loss. This disease involves fluid accumulation in the inner ear and can contribute to balance issues and hearing problems. A proper medical evaluation is necessary to diagnose the cause of these symptoms and determine the appropriate intervention, which may not be aided by hearing instruments alone. It is not advisable to fit the patient with hearing aids without further medical investigation, as doing so might overlook a potentially serious underlying health issue.