SO STONED Quick Reference

The SO STONED Quick Reference Guide is a one-page clinical tool designed to facilitate systematic history-taking in patients presenting with vestibular symptoms. This evidence-based framework provides clinicians with a structured eight-dimension approach to symptom characterization, enabling efficient differential diagnosis through pattern recognition. Clinical Application: This guide serves as an essential bedside or desk reference for healthcare professionals evaluating patients with dizziness, vertigo, or imbalance. The mnemonic device—SO STONED—organizes the clinical interview to capture critical diagnostic information across eight key dimensions: Symptoms (quality), Often (frequency), Since (onset), Trigger (provocative context), Otology (ear-related symptoms), Neurology (central nervous system symptoms), Evolution (temporal pattern), and Duration (episode length). Each vestibular disorder presents with a unique "fingerprint" when evaluated across all eight dimensions. By systematically gathering information in this framework, clinicians can rapidly narrow the differential diagnosis to 2-3 conditions before proceeding to physical examination, improving diagnostic accuracy and clinical efficiency. Target Audience: Otolaryngologists and neuro-otologists Neurologists specializing in vestibular disorders Physical therapists in vestibular rehabilitation Primary care physicians Emergency medicine providers Audiology professionals Residents and medical students Key Features: Comprehensive 8-dimension framework with clinical examples for each category Disease fingerprint table comparing six common vestibular conditions (BPPV, Menière's disease, vestibular migraine, vestibular neuritis, PPPD, superior canal dehiscence) Clinical pearls highlighting discriminative features (Duration + Triggers combination) Print-optimized design for clinic or hospital use Evidence-based content aligned with current vestibular diagnostic criteria This guide is part of the VestibularSOAP Pro Educational Course (see below), a comprehensive clinical education system developed by 360 Neuro Health. The SO STONED framework complements other assessment tools in the series, including the Dizziness Symptom Profile (DSP) for pre-visit screening and the Dizziness Differential Algorithm (DDA) for real-time clinical decision support. After purchase, you'll receive a link to create your 360NeuroGO account — that's where you'll access this resource. Please note: this resource is included in the Patient Intake & Interview Bundle. ⬇️⬇️⬇️⬇️⬇️ 🌟 This resource is also included with the VestibularSOAP Pro On-Demand Course. Enroll today and get this resource plus: Education Videos and Demo Videos: 📋 Subjective — Master the patient intake that creates trust and asks targeted questions to unlock diagnostic clarity 🔍 Objective — Learn which specific findings reveal underlying pathology and define your evaluation 🧩 Assessment — Develop pattern recognition that drives differential diagnosis and targeted care planning ⚡ Plan — Create treatment rationales that match patient presentations for customized therapy 💬 Live Q&A — Get your clinical reasoning questions answered in real time Resource Library: Health History Questionnaire for Vestibular Evaluation - Comprehensive 30-minute pre-visit intake capturing medical, medication, sleep, mental health, and symptom history TiTrATE Quick Reference - Timing, Triggers & Targeted Exams — evidence-based triage framework for acute and urgent vertigo presentations SO STONED Quick Reference - 8-dimension systematic symptom framework for comprehensive outpatient vestibular interviews (Wuyts et al.) Objective Clinical Vestibular Examination Template - Comprehensive, systematic bedside examination framework — seated → standing → dynamic → positional progression Age-Based Reference Norms Guide - Balance, oculomotor, and gait normative data with age-stratified values and fall risk indicators Maddox Rod Testing Guide - Bedside vertical deviation screening with step-by-step instructions and referral criteria Vestibular Diagnostics Reference Guide - Links bedside examination findings to laboratory diagnostics (vHIT, VNG, VEMP, rotary chair) Dizziness Differential Algorithm (DDA) v12 - Real-time clinical flowchart — from symptom presentation to working diagnosis Medications Quick Reference Guide - Consolidated two-section guide: Acute Vertigo & Nausea Management + Ototoxic Medication Screening Vestibular Illness Scripts (8 Disorders) - Pattern recognition frameworks: enabling conditions, pathophysiology, and clinical consequences for the 8 most common vestibular diagnoses Assessment Sentences Library - Pre-written, evidence-based clinical statements with medical necessity language — ready to adapt for any vestibular presentation List of Vestibular Diagnoses with ICD-10 Codes - Comprehensive, current coding reference organized for quick clinical lookup Therapy Goals Library (25 SMART Goals) - Evidence-based goals across 5 categories with MCIDs, fall risk indicators, and functional outcome language 5 continuing education hours - On-demand educational modules you can watch anytime to explain the clinical why behind every assessment component Step-by-step demo videos - See exactly how to perform each assessment Treatment progressions - Step-by-step treatment progressions to help decrease the cognitive load of developing rehab activities Downloadable templates ready for your practice - A vestibular evaluation resource with 64 targeted questions. Template assessment sentences and goal writing. Treatment progressions based on findings in your assessment. Print them. Use them tomorrow. And Lifetime Access! What You'll Walk Away With: ✓ A step-by-step evaluation template you can use immediately in your practice ✓ Confidence in the order and execution of vestibular tests ✓ Documentation that balances conciseness and thoroughness ✓ A vocabulary guide: terms to use and terms to avoid ✓ A systematic approach that works in any clinical setting Click here to learn more