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Here is a quick mnemonic “HISTORY DIZZY to remember about History Of Dizziness

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NEET PG, FMGE, NExT & NCLEX exams

History Of Dizziness : How To Remember Easily ?

  • H – History of symptoms: Inquire about the duration of the dizziness and any prior episodes.
  • I – Is it the first attack? Determine if this is the patient’s initial experience with dizziness.
  • S – Symmetric bilateral vestibular hypofunction: This can cause imbalance without vertigo.
  • T – Time duration of episodes: Assess whether the dizziness lasts for seconds, minutes, hours, or days.
  • O – Other accompanying symptoms: Pay attention to additional manifestations like double vision, numbness, or limb ataxia.
  • R – Related provoking factors: Identify triggers or situations that exacerbate the dizziness.
  • Y – Years of symptoms: Ask about the chronicity of the condition and any recurring patterns.
  • D – Differentiating peripheral from central causes: Observe for unilateral hearing loss and acute aural symptoms pointing to a peripheral cause.
  • I – Intermediate duration episodes: Consider transient ischemic attacks of the posterior circulation for minutes-long dizziness.
  • Z – Zero vertigo in symmetric bilateral vestibular hypofunction: Note the absence of vertigo in these cases.
  • Z – Zoning in on brainstem or cerebellar lesions: Symptoms like double vision, numbness, and limb ataxia suggest such lesions.
  • Y – Your focus on the nature of the symptom: Precisely delineate the specific characteristics of the dizziness.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department