Tool

Clinical cases

Eight hand-authored vignettes covering the major DVA-relevant disease patterns. Each case carries a clinical history, audiogram where relevant, DVA-and-vHIT findings, a single-best-answer diagnostic question with per-option rationale, a teaching point, and references.

Progress

0 of 8 complete

  1. 01

    Unsteadiness on the ward

    A 38-year-old with cystic fibrosis on day 9 of intravenous tobramycin.

    TraineeOtotoxicity → BVP
  2. 02

    Sudden vertigo in a healthy 30-year-old

    A previously well 30-year-old with three days of constant vertigo and unsteadiness.

    FoundationVestibular neuritis
  3. 03

    Recurrent vertigo with fluctuating hearing loss

    A 52-year-old with episodic vertigo, left-sided aural fullness, and a fluctuating audiogram.

    TraineeMénière's disease
  4. 04

    Asymmetric high-frequency hearing loss

    A 58-year-old whose audiogram screen shows right-sided high-frequency loss.

    TraineeVestibular schwannoma
  5. 05

    Acute vertigo in a patient with vascular risk factors

    A 64-year-old on warfarin presents with three hours of vertigo and the central HINTS pattern.

    ClinicianCentral causes
  6. 06

    Recurrent falls in an active 78-year-old

    An active 78-year-old with three falls in six months, vHIT just above the PVP threshold.

    ClinicianPresbyvestibulopathy vs BVP
  7. 07

    Recurrent dizziness in a 34-year-old with migraine

    A 34-year-old with recurrent dizziness, migraine history, normal vestibular testing.

    TraineeVestibular migraine
  8. 08

    Tracking rehabilitation in established bilateral vestibulopathy

    A 45-year-old at 12 weeks of vestibular rehabilitation: DVA improved, vHIT gain unchanged.

    ClinicianBVP rehabilitation