Dizzy Clinic.
Follow the evidence.
One question, one revealed answer, one decision at a time. Expand positional, episodic, standing-related and persistent symptoms through to examination and follow-up.
Fictional training only—not a real-patient diagnostic tool. Emergency care must never wait for completion of this pathway.
Select alternative answers to explore how the route changes. Changing mode starts again.
Plain-language, expandable explanations of the three canals, tests, treatment choices and safety checks.
Follow standing symptoms through measurement, causes, practical measures and review.
Stage 1: immediate safety, timing and triggers, targeted examination, then a justified next step. Open one response at a time.
Compare positional, hearing, blackout and emergency questions before requesting investigations.
Stage 2: reveal one fictional finding at a time, interpret it and move to a matching plan.
Link specialist testing to a specific clinical question, not a routine panel.
Follow one finding at a time through vestibular, sensory, neurological and mixed-risk pathways, then review function.
Explore sensory, cerebellar and bilateral vestibular findings, a chronic-cough clue, specialist tests and the limits of a possible CANVAS diagnosis.
Separate spontaneous seconds-long attacks from BPPV, migraine, hearing, blackout and seizure clues without assuming a diagnosis.
New: persistent dizziness pathway
In Explore mode, choose the background rocking or floating symptom pattern to explore visual triggers, functional impact, targeted examination, possible PPPD and follow-up. The fixed-patient practice route is unchanged.
References: Bárány Society PPPD diagnostic criteria; Cochrane 2023 pharmacological evidence review. Treatment responses vary; this route does not provide a prescribing protocol.
How long does each spell last?
Why this question?
Separate brief attacks, recurrent attacks lasting minutes to hours, and dizziness that remains present. Duration alone is not a diagnosis.
Evidence and further reading (2)
- UK guidanceNICE NG127 — dizziness and vertigo in adults ↗
- Patient readingNHS — vertigo overview and when to seek help ↗
Check the current guidance and local pathway before applying this learning to patient care.
Your route · 0 completed steps
Change an earlier step to discard all choices after it. Learning points from the discarded steps are removed too.
Sources and scope
The expanded tree includes positional vertigo, episodic auditory symptoms, migraine-associated episodes, standing-related faintness and older-patient imbalance. Emergency exits are intentionally short. Other routes include examination, decisions and follow-up. These are fictional teaching encounters, not a complete dizziness curriculum or a manoeuvre technique course.