Phys Clinical Cases · neurological
Vestibular Disorders — DCE Clinical Case
DCE long-case and short-case station for Vestibular Disorders.
On this page & tools
Target exams
Vestibular Disorders — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Vestibular Disorders. [1]
Presenting complaint: Subacute or acute symptoms referable to Vestibular Disorders, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Vestibular Disorders, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Maas BDPJ, van Leeuwen RB, Spies PE, Schermer TR, et al. The importance of screening for benign paroxysmal positional vertigo in older patients presenting to falls clinics BMC Geriatr, 2026.PMID 42449246
- [2]Büntzel J, Kisters K, Büntzel J, Micke O The role of magnesium in otology - A narrative review Magnes Res, 2026.PMID 42439044
- [3]Surano S, Lindell E, Mathé J, Davidsson H, et al. Internet-based vestibular rehabilitation versus written instructions after acute vertigo: A randomised controlled trial PLoS One, 2026.PMID 42284306
- [4]Magri A, Moise A, Ajit-Roger E, Orishchak O, et al. ChatGPT and patient education in benign paroxysmal positional vertigo, in French and in English Eur Ann Otorhinolaryngol Head Neck Dis, 2026.PMID 41945085
- [5]Fushiki H, Ogihara H, Kamo T, Shiozaki T, et al. Vestibular rehabilitation strategies of the Japan Society for Equilibrium Research Auris Nasus Larynx, 2026.PMID 41850198
- [6]Xi Y, Yao T, Zhang C, Zhuang T Effectiveness of safety care and clinical nursing pathway in patients undergoing cardiovascular intervention: a randomized controlled trial Perioper Med (Lond), 2026.PMID 42469924
- [7]Marks FJ, Walters SJ, Sutton L, Jacques RM What statistical methods are more appropriate for predicting recruitment at the design stage of a randomised controlled trial? Trials, 2026.PMID 42469922
- [8]Hajiaqaei M, Mohammadi A Transcranial random noise stimulation (tRNS) over the left dorsolateral prefrontal cortex ameliorates emotion dysregulation and executive function: a single-blind, randomized, sham-controlled clinical trial BMC Psychol, 2026.PMID 42469906