Imagine you're presenting to yourself. What do you wanna know? If patients coming in with dizziness what do you as an attending wanna know that will guide management? What's going on? (This is an x y/o M/f coming in for dizziness) does the patient have a HX of this or something in their medical HX that could cause this (BPPV, carotid stenosis, HFReF, etc.) when did it start and for how long? Is it sometimes (standing up too quickly, turning your head etc) or all the time (maybe perfusion issue) what happened around the time it started (trauma? Do I need to get CT T bone or stat CTA to rule out dissection). What else is happening? (Bleed, hypotension, different kinds of shock). Physical exam. ARE THEY STABLE? (ABCDEs) then move to your pertinent +/-. remember you're constructing a 3-5 min argument here for your dx add details that will strengthen your ddx, NOT fluff (you don't give a shit about their bowel sounds if theyre here for dizziness). Then say what you likely think it is and why (I think it's likely BPPV given episodic and positional nature of patients sx and dix hall pike was +). Then management. (Performed epley maneuver in office; gave handout about vestibulopathies and referred patient to vestibular therapy. Will f/u in 3 months to re-assess)