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Guided Clinical Evaluation

Stop Guessing.
Start Diagnosing Systematically.

An 8-phase guided evaluation that walks you from intake to diagnosis to treatment plan — with a running differential that updates as you examine.

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Why Vestibular Evaluations Go Wrong

Inconsistent Process

Every clinician evaluates differently. Critical tests get skipped under time pressure.

Time-Consuming Documentation

Writing evaluation reports takes longer than the evaluation itself.

Diagnosis Uncertainty

Overlapping presentations make it hard to differentiate BPPV from migraine from UVH.

8 Phases. One Systematic Path.

Click any phase to see what happens at each step.

What you do

Screen for CNS red flags: sudden onset, worst headache of life, new neurological signs, diplopia, dysarthria. Binary checklist — any positive flag triggers immediate referral guidance.

1

What the system does

Positive flags immediately shift probability toward central causes and trigger referral urgency. The differential panel flags conditions that require urgent imaging or specialist referral.

See the Differential Update in Real Time

Here's what it looks like mid-evaluation — after positional testing.

Phase 4: Positional Testing

Dix-Hallpike result — right ear:

Upbeating + TorsionalLatency 2–5 sFatigableDuration <30 s
Running Differential
BPPV (Post. Canal)78%
Vestibular Migraine12%
UVH6%
Concussion / PCS3%
PPPD1%

From Evaluation to Treatment Plan in Minutes

Confirm your diagnosis and the system generates everything you need.

Treatment Plan

Auto-generated from confirmed diagnosis. Exercise selection, frequency, duration, and precautions — ready to assign.

Measurable Goals

Short-term and long-term goals generated from diagnosis and baseline data. Ready for documentation and insurance justification.

Evaluation Report

Complete report with findings, diagnosis, ICD-10 codes, and plan of care. Export as PDF for your records or EMR.

Ready to Standardize Your Evaluations?

Free trial includes full diagnostic pathway access. No credit card required.

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5 Conditions. Evidence-Based Differentiation.

Each condition is evaluated through structured clinical evidence patterns.

BPPV

Posterior, Horizontal, Anterior Canal
H81.1x

The most common peripheral vestibular disorder. The pathway captures Dix-Hallpike and roll test nystagmus patterns — direction, latency, duration, and fatigability — to differentiate canal variants with high confidence.

Key differentiators: Positional nystagmus patterns, latency, fatigability, canal-specific characteristics

Unilateral Vestibular Hypofunction

H81.3x

Reduced vestibular function on one side from labyrinthitis, vestibular neuritis, or surgical causes. The pathway evaluates head impulse response, dynamic visual acuity, and spontaneous nystagmus patterns.

Key differentiators: Head impulse test, dynamic visual acuity deficit, spontaneous nystagmus, balance on unstable surfaces

Vestibular Migraine

G43.x

Episodic vestibular symptoms associated with migraine pathophysiology. The pathway identifies the characteristic overlap of migraine features with vestibular symptoms through structured history and provocation testing.

Key differentiators: Migraine history, photophobia, visual motion sensitivity, episodic pattern without positional trigger

Concussion / Post-Concussion Syndrome

S06.x

Vestibular symptoms following traumatic brain injury, often with multi-domain involvement. The pathway screens across oculomotor, balance, and cognitive domains using VOMS integration.

Key differentiators: Head injury history, multi-domain symptoms, oculomotor deficits, elevated VOMS scores

PPPD

H81.89

Persistent dizziness lasting three months or longer, often triggered by visual complexity and postural threat. The pathway differentiates PPPD from ongoing peripheral vestibular dysfunction through provocation testing.

Key differentiators: Duration >3 months, postural threat sensitivity, visual dependence, absence of peripheral signs

Connects to Your Full Clinical Workflow

The diagnostic evaluation is one step in a complete care pipeline.

Evaluation8-phase guided pathway
DiagnosisConfirmed with ICD-10
Treatment PlanAuto-generated exercises
Exercise ProgramIn-clinic + home HEP
RTM MonitoringBillable remote oversight

Before and After

Without EyeRehab

  • ✕Unstructured evaluations vary by clinician
  • ✕30+ minutes writing evaluation reports
  • ✕Diagnosis based on clinical intuition alone
  • ✕Generic treatment plans for all vestibular patients
  • ✕Findings scattered across notes and forms

With EyeRehab

  • ✓Guided 8-phase protocol ensures consistency
  • ✓Auto-generated reports from collected findings
  • ✓Evidence-weighted differential supports your judgment
  • ✓Diagnosis-specific treatment plans with measurable goals
  • ✓Structured data ready for outcomes research

Frequently Asked Questions

What conditions does the diagnostic pathway support?
The pathway covers five core vestibular conditions: BPPV (posterior, horizontal, and anterior canal variants), unilateral vestibular hypofunction (UVH), vestibular migraine, concussion and post-concussion syndrome (PCS), and persistent postural-perceptual dizziness (PPPD). The running differential updates confidence levels for each condition as you enter findings throughout the evaluation.
Is this replacing my clinical judgment?
No. The diagnostic pathway is a clinical decision-support tool that organizes evidence and highlights patterns — it does not make diagnoses. You confirm or override every diagnosis suggestion. The system structures the evaluation process and presents weighted differentials, but the final clinical decision is always yours.
Can I skip phases that aren't relevant?
Yes. Any phase can be skipped or marked as not applicable. The differential adjusts based on available data. For example, if a patient presents with a clear positional history and you want to go directly to Dix-Hallpike testing, you can skip the oculomotor phase and return to it later if needed.
How does the running differential work?
As you enter clinical findings in each phase, the system updates confidence levels for each of the five supported conditions. The differential panel shows percentage-based confidence levels that shift based on the clinical evidence patterns you document. Pathognomonic findings like classic Dix-Hallpike nystagmus can drive a single condition to high confidence quickly.
What about patients with multiple conditions?
The system handles comorbid presentations. During the synthesis phase, you can confirm a primary diagnosis and note secondary conditions. For example, a patient may have both BPPV and vestibular migraine — the treatment plan will address both conditions with appropriate prioritization.
Is the evaluation report compatible with my electronic medical records?
Evaluation reports export as PDF with structured content including ICD-10 codes, a findings summary organized by phase, the confirmed diagnosis, measurable goals, and a complete plan of care. The format is designed for easy import into any EMR system.
Is patient data HIPAA-compliant?
Yes. All patient health information is encrypted at rest using AES-256-GCM field-level encryption across 80+ database fields. The platform maintains HIPAA-grade audit logging with 7-year retention for all data access events. Evaluation data receives the same encryption protections as all other patient data in EyeRehab Pro.
What does the diagnostic evaluation tool cost?
The diagnostic evaluation pathway is included in every EyeRehab Pro subscription at no additional cost. Start with a free trial to access the full pathway — no credit card required.

Your Next Evaluation, Guided.

Join vestibular PTs who've standardized their diagnostic process.

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