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    Categories>Health>Vertigo Mastery: From Spinning Rooms to Clear Diagnosis

    Vertigo Mastery: From Spinning Rooms to Clear Diagnosis

    52 min
    |
    19 Quellen
    |
    18. Feb. 2026
    HealthScienceEducation

    Two family physicians break down the TiTrATE method for diagnosing vertigo, from classic BPPV to complex cases with hearing loss. Learn when that spinning sensation signals something serious.

    Vertigo Mastery: From Spinning Rooms to Clear Diagnosis

    Diese Audiolektion wurde von einem BeFreed-Community-Mitglied erstellt

    Eingabefrage

    Vertigo dizziness diagnosis and treatment for a family medicine physician

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    Kernaussagen

    1

    When The Room Won't Stop Spinning

    0:00

    **Eli:** Hey Miles, I had this patient last week who came in saying "Doctor, the room won't stop spinning!" and honestly, my first thought was - okay, classic vertigo, probably BPPV, let's do the Dix-Hallpike. But here's what caught me off guard - she also mentioned some hearing loss and tinnitus. Suddenly I'm thinking, wait, this might not be as straightforward as I thought.

    0:22

    **Miles:** Oh, that's such a perfect example of why vertigo can be tricky! You know, it's fascinating how that combination of symptoms immediately changes your differential, right? Because BPPV typically doesn't cause hearing problems, but when you add hearing loss and tinnitus to vertigo, you're looking at something like Ménière's disease or even vestibular neuritis.

    0:42

    **Eli:** Exactly! And what really struck me is how the patient's description of "spinning" could mean so many different things. I mean, some patients say spinning when they mean lightheaded, others mean true rotational vertigo.

    0:53

    **Miles:** Right, and that's why the systematic approach becomes so crucial. The TiTrATE method - timing, triggers, and targeted examination - can really help us sort through these cases methodically. So let's dive into how we can build that diagnostic framework that works reliably in family practice.

    2

    The Timing Tell: When Duration Reveals Everything

    3

    The Trigger Investigation: What Sets It Off Matters

    4

    The Physical Exam: What Your Hands and Eyes Can Tell You

    5

    Red Flags and When to Worry: The Clinical Decision Points

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