Ep 1. Dizziness: A Differential That Spins Out of Control

Dizzy, lightheaded, woozy, off-balance, like the room is spinning, like they might pass out : patients describe it in may different ways, which makes it one of the most common and most frustrating complaints in medicine. In our first episode we lay out a practical way to think through dizziness: the key questions to ask when taking history, the exam findings that narrow the differential, and the red flags you can't afford to miss. Then we put it into practice, walking through clinical cases step by step. Whether you're a trainee or just curious, you'll leave with an approach you can use at the bedside. Timestamps: 0:00 Introduction 1:12 The classic framework 4:59 Practical Approach to Dizziness 8:14 Acute Episodic Dizziness with a Trigger 18:14 Acute Episodic Dizziness without a Trigger 23:14 Diagnostic tests 25:37 Exam maneuvers 30:47 Acute Persistent Dizziness/ Acute vestibular syndrome 33:05 Red Flags for central disease 36:47 HINTS+ exam 42:45 Chronic Dizziness 51:24 Summary 52:46 Case 1 59:23 Case 2