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Dizziness Differentiation

Master the Complexity of the “Dizzy” Patient

If you are responsible for differential diagnosis, this module is essential for improving patient safety and clinical confidence.

CATA Approved Provider Badge - 2025-2027 EN

0.4 CATA CEUs

TiTrATE Diagnostic Framework
HINTS Bedside Stroke Screening
Peripheral vs Central Differentiation
BPPV Diagnosis and Treatment

When Dizziness Signals Something Serious

Dizziness is one of the most common, yet imprecise symptoms encountered in clinical practice, affecting 15% to 20% of adults annually. While many causes are benign, the challenge lies in recognizing the small but critical percentage of serious central pathologies that require urgent intervention.

Why Mastering Dizziness Differentiation Is Critical

Failure to accurately differentiate the etiology of dizziness can lead to:

  • Missed Stroke Diagnosis: Around 10% of strokes presenting as dizziness are missed at first contact, significantly increasing mortality.
  • Ineffective Treatment: Misdiagnosis results in inappropriate therapies or referral to the incorrect specialist, prolonging patient suffering.
  • High Economic Cost: Inefficient diagnostic pathways are costly to the patient and the healthcare system.
  • Increased Fall Risk: Dizziness in the elderly is a strong predictor of falls, which can lead to accidental death.

What You Will Learn

You will learn:

  • Differentiate Causes: Learn to distinguish between peripheral, central, and other mimics (e.g., cardiovascular or medication-induced).
  • Apply TiTrATE: Master this novel diagnostic framework focusing on Timing, Triggers, and Targeted Examination.
  • Perform HINTS: Gain proficiency in the Head-Impulse, Nystagmus, and Test of Skew (HINTS) exam, which is more sensitive than early MRI for identifying stroke.
  • Identify Red Flags: Recognize signs of posterior circulation stroke and other life-threatening central etiologies.
  • Master Skills:  Learn about the Dix-Hallpike maneuver for diagnosis and the Epley maneuver for the treatment of BPPV.
  • Understand Cervicogenic Dizziness: Learn the mechanisms of somatosensory mismatch and how to treat dizziness originating from the cervical spine.
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Module Content Overview

Clinical Reasoning Frameworks

Using the TiTrATE approach and the HINTS examination to guide bedside diagnosis.

Peripheral Vestibular Disorders

Deep dives into BPPV, Meniere’s Disease, and Vestibular Neuritis.

Central & Vascular Considerations

Screening for vestibular migraine, vertebrobasilar ischemia, and acute stroke.

Cervicogenic Dizziness

Assessing the “mismatch” between visual, vestibular, and neck proprioceptive systems.

Other Causal Factors

Recognizing the impact of medications (polypharmacy), orthostatic hypotension, and psychiatric triggers.

This module presents a structured approach to assessing dizziness using frameworks like TiTrATE and the HINTS exam. It covers peripheral, central, and cervicogenic causes, along with other contributing factors to improve clinical reasoning and diagnostic accuracy.

Why Choose MSK

Who This Module Is Designed For

This module is essential for healthcare professionals who are the first point of contact for dizzy patients, including:

What’s Included

WHAT YOU GET

✔ Educational audio / video content
✔ Visual infographic reference
✔ Evidence-informed communication framework
✔ Practical clinical examples
✔ Lifetime access to purchased materials

Please email us at mskacademy25@gmail.com upon completion of the module to receive a “Certificate of Completion’ 

Dizziness Differentiation
msk academy

Treat with Greater Impact.

Communicate with Greater Clarity.

Your words influence how patients think, feel, and recover. This resource helps you communicate in ways that support safety, trust, and better outcomes.