The Timing-and-Triggers Approach to the Patient With Acute Dizziness (Stroke CME) | Digest
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The Timing-and-Triggers Approach to the Patient With Acute Dizziness (Stroke CME)

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Points and Pearls Excerpt

  • Although dizziness is a common complaint in the ED, an exact cause is often unclear.
  • Use a “timing-and-triggers” approach to the diagnosis of patients with dizziness; the classic “symptom-quality” approach (“What do you mean, ‘dizzy’?) should be avoided.
  • The timings-and-triggers approach to dizziness sorts patients into one of 3 groups (1) acute vestibular syndrome (AVS), (2) the spontaneous episodic vestibular syndrome (s-EVS), and (3) the triggered episodic vestibular syndrome (t-EVS), each of which is tightly associated with a specific differential diagnosis.
  • Brief episodes of dizziness that wake a patient up from sleep are nearly always BPPV.

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Publication Information
Authors

Jonathan A. Edlow, MD, FACEP

Peer Reviewed By

Petra Duran-Gehring, MD, RDMS, FACEP; Christopher Lewandowski, MD; Vasisht Srinivasan, MD

Publication Date

December 1, 2019

CME Expiration Date

December 1, 2022

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 2 Stroke CME credits

Pub Med ID: 31765116

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CME Information

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