[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-209126-en":3,"doc-seo-209126-105":30,"detail-sidebar-cat-0-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":4,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},209126,1099514067438,"River Wang","https://ap-avatar.wpscdn.com/avatar/100002539ee87300030?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780474512215547542",7,"Healthcare","Dizziness - Continuing Medical Education Credit Information","Continuing medical education content addresses dizziness as an ambiguous symptom and emphasizes distinguishing dizziness types to determine when referral is warranted. The activity reviews common dizziness presentations through patient cases, covering symptom descriptors, typical examination findings, treatment strategies, and decision points for escalation. It also outlines target audience guidance for providers and presents structured frameworks for clinical evaluation and differential diagnosis.","1  \n3  \n5  \n\n| \u003Cbr>Continuing Medical Education Credit Information\u003Cbr>• Activity Description/Statement of Need:\u003Cbr>“Dizziness” can be an ambiguous term to describe a variety of sensations. However, it is important to be able to distinguish types of dizziness and identify situations that warrant referral. This course will review the most common types of dizziness using patient cases to explore descriptors of symptoms, common examination findings, treatment strategies, and situations that warrant referral. |  |\n| --- | --- |\n| • Target Audience: All Providers | |\n\n2  \n4  \n\n| \u003Cbr>Picture this.\u003Cbr>Clinic. Friday afternoon. A woman walks into your office for an evaluation of knee pain and gait instability. You take an EXCELLENT history as the wonderful clinician you are. You are completing a functional screen, and following a series of movements including bending over, squatting, and lifting an item off the ground, the woman reports she feels dizzy. |  |\n| --- | --- |\n| What do you do next? | |\n\n6  \n\n|  | |  |  |\n| --- | --- | --- | --- |\n| Dizziness |  | |  |\n\n7  \n9  \n\n| \u003Cbr>Causes of dizziness2\u003Cbr>Stroke BPPV Vestibular neuritis TIADysautonomia Vestibular migraine PPPDMeniere’s disease Tumor Trauma Infection Medication side effects Heart disease Labyrinthitis Metabolic Acoustic neuroma Neurodegenerative disease Perilymphatic fistula |  |\n| --- | --- |\n| Superior canal dehiscence | |\n\n11  \n\n|  | |  |  |\n| --- | --- | --- | --- |\n| |  | |  |\n\n8  \n\n| \u003Cbr>Definitions 1\u003Cbr>• Dizziness: “any distortion of the sensation of where one is within a space”\u003Cbr>• Vertigo: “a false sensation of movement” |  |\n| --- | --- |\n| | |\n\n10  \n12  \n13  \n\n| Clinical decision making \u003Cbr>\u003Cbr> Treat\u003Cbr>|\n| --- |\n| \u003Cbr>\u003Cbr> Refer\u003Cbr>\u003Cbr>|\n| \u003Cbr>\u003Cbr>\u003Cbr>|\n\n15  \n\n| \u003Cbr>Differential diagnosis |  |\n| --- | --- |\n| • Central\u003Cbr>– Stroke\u003Cbr>– Space-occupying lesion (tumor, etc. )\u003Cbr>– Degenerative disease\u003Cbr>• Peripheral\u003Cbr>– BPPV\u003Cbr>– Neuritis\u003Cbr>– Labyrinthitis\u003Cbr>• Other | |\n\n17  \n14  \n16  \n18  \n19  \n21  \n23  \n20  \n\n| \u003Cbr>BPPV 1 |  |  |\n| --- | --- | --- |\n| Diagnosis\u003Cbr>• Tests\u003Cbr>– Dix-Hallpike test\u003Cbr>– Roll test\u003Cbr>– Sidelying test\u003Cbr>• Positive tests include\u003Cbr>– Symptom reproduction\u003Cbr>– Nystagmus pattern | Treatment\u003Cbr>• Epley maneuver\u003Cbr>• Semont maneuver\u003Cbr>• BBQ roll\u003Cbr>• Gufoni manuever\u003Cbr>• Li manuever …and more! | |\n\n22  \n\n| \u003Cbr>Differential diagnosis |  |\n| --- | --- |\n| • Central\u003Cbr>– Stroke\u003Cbr>– Space-occupying lesion (tumor, etc. )\u003Cbr>– Degenerative disease\u003Cbr>• Peripheral\u003Cbr>– BPPV\u003Cbr>– Neuritis\u003Cbr>– Labyrinthitis\u003Cbr>• Other | |\n\n24  \n25  \n27  \n29  \n\n| \u003Cbr>Vestibular hypofunction5\u003Cbr>• Imbalance or asymmetry within vestibular system\u003Cbr>– Due to decreased function of vestibular organ and/or nerve |  |\n| --- | --- |\n| • Symptoms\u003Cbr>– Vertigo\u003Cbr>– Nausea\u003Cbr>– Spontaneous nystagmus\u003Cbr>– Oscillopsia\u003Cbr>– Disequilibrium\u003Cbr>– Postural instability | |\n\n26  \n28  \n\n| \u003Cbr>Differential diagnosis |  |\n| --- | --- |\n| • Central\u003Cbr>– Stroke\u003Cbr>– Space-occupying lesion (tumor, etc. )\u003Cbr>– Degenerative disease\u003Cbr>• Peripheral\u003Cbr>– BPPV\u003Cbr>– Neuritis\u003Cbr>– Labyrinthitis\u003Cbr>• Other | |\n\n30  \n31  \n33  \n\n| \u003Cbr>Central signs and red flags7 |  |\n| --- | --- |\n| • Direction-changing nystagmus\u003Cbr>• Vision changes (diplopia, visual field cuts)\u003Cbr>• Abnormal smooth pursuits or saccades\u003Cbr>• Abnormal convergence\u003Cbr>• Hyperreflexia\u003Cbr>• Presence of pathologic reflexes (Hoffman, Babinski)\u003Cbr>• Clonus, spasticity, rigidity\u003Cbr>• Dysphagia\u003Cbr>• Dysarthria\u003Cbr>• Hemiparesis\u003Cbr>• Sensory loss\u003Cbr>• Ataxia | |\n\n35  \n\n| \u003Cbr>Even more information\u003Cbr>Blood pressure: 196/114 mmHg\u003Cbr>The occupational therapist calls for EMS and the patient is transported to the ED where imaging reveals an acute cerebellar infarct. Bob is |  |\n| --- | --- |\n| admitted to the hospital. | |\n\n32  \n\n| \u003Cbr>Vascular dizziness8\u003Cbr>HINTS = Head Impulse Nystagmus Test of Skew |  |  |\n| --- | --- | --- |\n| Normal head impulse test\u003Cbr>\u003Cbr>Image: [https://brainstuff.org/blog/halmagyi](https://brainstuff.org/blog/hal","cbCaiovJACAIUYTw","https://ap.wps.com/l/cbCaiovJACAIUYTw","pdf",420398,1,8,"English","en",105,"# Continuing Medical Education Credit Information\n## Activity Description and Statement of Need\n## Target Audience\n# Clinical Evaluation and Decision Making\n## What to Do Next (Case Prompt)\n## Definitions\n## Causes and Differential Diagnosis\n# Diagnostic and Treatment Strategies\n## BPPV: Tests and Treatment\n## Vestibular Hypofunction\n## Central Signs and Red Flags\n## Vascular Dizziness (Head Impulse, Nystagmus, Test of Skew)\n## Orthostatic Hypotension\n## Clues from Case","[{\"question\":\"How does the activity explain the difference between dizziness and vertigo?\",\"answer\":\"Dizziness is described as any distortion of the sensation of where one is within a space, while vertigo is a false sensation of movement.\"},{\"question\":\"What types of causes of dizziness are covered?\",\"answer\":\"The materials list multiple causes including stroke, BPPV, vestibular neuritis, vestibular migraine, Meniere’s disease, tumor, trauma, infection, medication side effects, heart disease, labyrinthitis, metabolic issues, and other conditions.\"},{\"question\":\"When should clinicians consider referral based on this course’s decision-making framework?\",\"answer\":\"The course highlights situations requiring referral by emphasizing correct identification of dizziness type, common examination findings, and recognition of central signs and red flags that indicate higher-risk pathology.\"}]","Dizziness - 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