Clinical diagnosis of benign paroxysmal positional vertigo and vestibular neuritis

Flow chart of the initial approach to the diagnosis of acute vertigo. With permission from Tintinalli JE, Ma OJ, Yealy DM, et al. Tintinalli’s emergency medicine: a comprehensive study guide, 9th edition. New York: McGraw Hill; 2020. Note: BPPV = benign paroxysmal positional vertigo; HINTS plus = head impulse, nystagmus and test of skew, with plus refering to a test of recent hearing loss; HIT = head impulse test.