Approach to Dizziness
Approach to Dizziness Summary
Approach to Dizziness is a mobile iOS app in Medical by ATIF ELNIL. Released in Apr 2026 (recently released ago). Store metadata: updated Apr 1, 2026.
Store info: Last updated on App Store on Apr 1, 2026 .
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App Description
DESCRIPTION:
IMPORTANT: For use by qualified healthcare professionals only.
Approach to Dizziness is a comprehensive evidence-based clinical reference for dizziness, vertigo, and balance disorders. Built for neurologists, stroke physicians, ENT surgeons, emergency physicians, audiologists, and vestibular physiotherapists. Midnight blue with amber accents -- Dementia Pro Guide design style.
DIAGNOSIS FRAMEWORK
TiTrATE algorithm (Timing, Triggers, Targeted examination). Full HINTS exam guide -- Head Impulse Test technique, nystagmus (unidirectional vs direction-changing), Test of Skew. INFARCT pattern vs peripheral pattern. HINTS PLUS -- acute hearing loss as fourth alarming feature. Peripheral vs central comparison table. Acute vestibular syndrome management algorithm.
BPPV AND MANOEUVRES
Canal variants table. Dix-Hallpike technique. Epley manoeuvre (80-90% single treatment success). Semont manoeuvre. Supine roll test -- geotropic vs apogeotropic. Gufoni manoeuvre for horizontal canal. Brandt-Daroff home exercise prescription.
VESTIBULAR NEURITIS AND LABYRINTHITIS
Diagnostic criteria. Neuritis vs labyrinthitis comparison. AICA infarct -- the dangerous mimic. Corticosteroid evidence (Strupp 2004). Vestibular suppressants -- 3-day maximum rule. VRT -- when to start, gaze stabilisation, habituation, balance training.
MENIERE DISEASE
Barany Society 2015 criteria -- definite and probable. Low-sodium diet, betahistine (BEMED trial 2016 discussed), diuretics, acute rescue medications. Intratympanic gentamicin (90%+ vertigo control, hearing risk). Intratympanic dexamethasone (no hearing risk). Endolymphatic sac surgery. Vestibular neurectomy and labyrinthectomy.
CENTRAL CAUSES
PICA infarct -- Wallenberg syndrome. AICA infarct. Basilar TIA -- the 5 Ds. ABCD2 score. Cerebellar infarct -- the cannot-walk rule. Cerebellar haemorrhage. MS vestibular syndromes. Superior canal dehiscence (Tullio phenomenon). PPPD -- Barany 2017 criteria, SSRIs plus VRT plus CBT.
VESTIBULAR MIGRAINE
2022 Barany/IHS criteria -- definite and probable. VM vs Meniere comparison (10 features). Acute treatment (triptans, aspirin, antiemetics). Prevention: amitriptyline, propranolol, venlafaxine (specific VM evidence), CGRP monoclonal antibodies.
ORTHOSTATIC HYPOTENSION
Definition and causes (neurogenic, volume depletion, drug-induced, cardiac). Non-pharmacological management. Fludr