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The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... cause of AVS and ... with a central cause ... #PhysicalExam #Neurology ... VestibularSyndrome #Posterior
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo Peripheral ... Varies • No neurologic ... with vascular causes ... positional episodes caused ... (posterior canal
Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
Etiologies of Peripheral ... Paraprotein-associated (POEMS syndrome ... , myeloma, secondary ... differential #diagnosis #causes ... #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... Central Vertigo PERIPHERAL ... Occlusion of posterior ... (Wallenberg's syndrome ... Syndrome usually
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
soles in 50% of cases ... including anterior or posterior ... and nephrotic syndrome ... have positive serology ... roots, causing a syndrome
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
- Emergency Causes ... perineum, and posterior ... • Provocative Tests ... absent anal wink test ... #neurology
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
Hyperviscosity Syndrome ... of breath • Neurologic ... deficits (peripheral ... • Dyspnea at rest ... : Tumor Lysis Syndrome
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Cushing's Syndrome ... • Acne • If secondary ... glucose uptake in peripheral ... dexamethasone suppression test ... #Cushings #Syndrome
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
dyscrasias • Secondary ... : • Nephrotic syndrome ... Carpal tunnel syndrome ... hypoadrenalism • Nausea ... and stocking" peripheral
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
~5th decade → peripheral ... Acromegaly occurs secondary ... Beckwith Wiedemann syndrome ... glucose suppression test ... or refractory cases