mastery lecture

The Dizzy Patient

Sep 11, 2025

The patient with vertigo, or the patient present with 'dizziness' as their main complaint, can be a diagnostic challenge. In this Mastery video I look at Combining thr TiTrATE and STANDING Algorithms into something, that we can use every day.

I discuss:

Acute vs Chronic Dizziness
Acute Recurrent and acute Spontaneous Dizziness.
Prolonged Dizziness
We look at the brief targeted Neurological examination we must perform.
We cover the following specific examinations
1. Dix-Hallpike
2. Pagnini-McClure
3. HINTS
4. Eye examination: Nystagmus, Diplopia, Fields
5. Posterior Columns
6. Pronator Drift
7. Cerebellar Examination
We cover the diagnoses of:
1. BPPV
2. Menier's Disease
3. Vestibular Migraine
4. Psychaiatric Causes
5. Vestibular Neuronitis
6. Central Causes.