Vertigo: Step-by-Step Approach (Flowchart)
The USMLE Adviser Vertigo flowchart turns this presentation into a short series of yes/no decisions, the way Step 2 CK and Step 3 vignettes test it. Here is how it begins.
How the flowchart starts
The first question is focal neuro deficit? If yes, the chart points to central vertigo / stroke. If no, it asks whether symptoms are triggered by head position, then about hearing loss / tinnitus, and continues from there.

FAQs
How does the vertigo flowchart start?
The first question is focal neuro deficit? If yes, the chart points to central vertigo / stroke. If no, it asks whether symptoms are triggered by head position, then about hearing loss / tinnitus, and continues from there.
Where can I see the full vertigo flowchart?
The complete flowchart is page 62 of the USMLE Adviser e-book, Clinical Algorithms: Volumes 1 & 2, which has 232 flowcharts across 19 specialties.
Related flowcharts
Get the full flowchart
The USMLE Adviser e-book has 232 one-page clinical flowcharts across 19 specialties for Step 2 CK, Step 3 and the Match. Instant digital download.
From Clinical Algorithms: Volumes 1 & 2 by Dr. Adnan Memon, MD (page 62). Reviewed by the USMLE Adviser Team. For exam preparation only, not medical advice.
USMLE Adviser