29 results
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
Vertigo: • Peripheral ... : BPPV, Vestibular ... dysfunction, Meds • Reflex ... radiculopathy Other: • Psychiatric ... #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... posterior canal BPPV ... (BPPV); worsens ... #diagnosis #findings ... symptoms #comparison #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Varies • No neurologic ... auditory findings BPPV ... #differential #diagnosis ... #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... left, right, up and ... Central #Peripheral #Vertigo ... #diagnosis #neurology ... #bppv #comparison
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... consistent with BPPV ... #BPPV #Vestibular ... Labyrinthitis #diagnosis ... #neurology #comparison
Motor and Reflex Grading (0-5)

Motor Strength Grading

5	Normal

4	Reduced, moves against resistance

3	Moves against gravity

2	Moves only with elimination of
Motor and Reflex ... Strength Grading 5 Normal ... Increased 2 Normal ... Scoring #Grades #Diagnosis ... #Neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... with significant neurologic ... attacks with varying neurologic ... #differential #diagnosis ... #neurology
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
A normal plantar ... reflex response ... Babinski #Sign #Reflex ... PhysicalExam #Diagnosis ... #Neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... etiology of coma Abnormal ... decortication), abnormal ... #PhysicalExam #neurology ... #comatose #diagnosis
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Epley Maneuver for Treatment ... of BPPV 1) The ... sitting posture, and ... paroxysmal #positional #vertigo ... #neurology #instructions