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this is a basic simplified approach to the dizzy patients by me Peter Jones an emergency physician at the University of Ottawa why did I make this presentation well frankly many emergency physicians cannot reliably diagnose the most common cause of vertigo which can then lead to ordering CTS or MRIs which are expensive and unwarranted the reason why theyre having difficulty to diagnosis because the text books typically emphasize day is this a central or peripheral cause instead of saying well how do you make a diagnosis and also theres no videos in the textbooks so you need to understand and look for the big three of vertigo and the big three are as follows BPPV which is somewhat distressing but curable and secondly is a sibling rightis which is more distressing at times but unfortunately no cure now these two conditions you will see youve got to understand and be able to diagnose them BPPV and vestibular neuritis thats two of the big three and the big three of course the third big