A symptom, not a disease process. Causes can be peripheral or central, benign or life-threatening. Cause determines treatment.
May be described as a sensation of movement (“room spinn...
Avoid over-reliance on patient description of how symptoms feel; focus on triggers and timing (1).
TiTrATE is a clinically useful evaluation tool: Timing, Triggers, And a Targeted Eval...
BPPV: Epley maneuver (1,2,5)[A] and modified Epley maneuver (2)[B] (Epley maneuver–YouTube)
Vestibular neuritis and labyrinthitis
Vestibular-suppr...
Fife TD, Iverson DJ, Lempert T, et al. Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence–based review): report of the Quality Standards Subcommitte...
Ménière Disease; Motion Sickness; Vertigo, Benign Paroxysmal Positional (BPPV)
Algorithm: Dizziness
R42 Dizziness and giddiness
H81.10 Benign paroxysmal vertigo, unspecified ear
H81.49 Vertigo of central origin, unspecified ear
H81.399 Other peripheral vertigo, unspecified ear
H81.311 Aural v...
TiTrATE your assessment.
Acute, spontaneous, continuous vertigo with a normal horizontal head impulse, direction-changing nystagmus, and skew deviation (HINTS positive) is highly sensit...
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