AI Snips
Chapters
Transcript
Episode notes
Dizziness Is Not One Symptom
- Dizziness is multiple distinct complaints: vertigo, disequilibrium, presyncope, or poorly described sensations.
- Focusing on one clear symptom narrows the differential and improves diagnosis accuracy.
Always Do A Two-Minute Neuro Exam
- Do a focused neuro and cerebellar exam and walk the patient when evaluating vertigo.
- That short exam quickly distinguishes benign peripheral causes from dangerous central causes.
Time Course Is Diagnostic
- Time course of vertigo guides diagnosis: seconds for BPPV, minutes–hours for Meniere's/vestibular migraine/TIA, days for acute vestibular syndrome.
- Time pattern often outperforms single abnormal exam findings.