Mildred Blonde

Mildred is a 78 year old woman who is cheerful and friendly, despite giving vague answers to most of the questions that the she’s asked. The case gives students an opportunity to progress through various pathways, with some more direct than others.

The main learning objectives are to 1) differentiate between dizziness and vertigo on history, 2) interpret the findings of the physical examination, including the Dix Hallpike maneuver, 3) provide a differential diagnosis for dizziness and vertigo and 4) describe initial workup and management of dizziness and vertigo. This case is broken into several main sections, starting with 1) Mildred’s initial complaint of dizziness and an opportunity to ask her questions; 2) an initial diagnosis (choose the best three) 3) reviewing Mildred’s current and recent medications for possible adverse effects 4) physical examination steps 5) updated diagnosis and 6) recommended management of symptoms.