12 results
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
Vertigo: • Peripheral ... Meniere's Disease • Central ... Syphilis, Cerebellar/Posterior ... radiculopathy Other: • Psychiatric ... Diagnosis #neurology
Causes of Dizziness / Lightheadedness - Differential Diagnosis Algorithm
Lightheaded, unsteady, disoriented - Non-vertigo
Organic Disease
 • Presyncope/Vasodepressor
Diagnosis Algorithm ... disoriented - Non-vertigo ... Problem • Drugs Psychiatric ... Somatization #Dizzy ... Lightheadedness #Neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential ... Diagnosis Algorithm ... Bone Fracture Central ... Hemorrhage #Dizzy ... #Neurology #Differential
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
• Vestibular (vertigo ... • Nonspecific (psychiatric ... TiTrATE #Dizziness #dizzy ... #algorithm #differential ... #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... present Central ... Hallpike test (posterior ... #Algorithm #differential ... #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
It has been validated ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior ... #CVA #Peripheral
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... • Symptoms may be ... #Algorithm #dizzy ... #differential # ... diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... forehead) in classic posterior ... , such as with posterior ... #Vertigo #diagnosis ... symptoms #comparison #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central ... CENTRAL VERTIGO ... Occlusion of posterior ... #differential # ... diagnosis #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Seizures • Altered mental ... may precede the neurologic ... narrowing on MRA/CTA ... Reversible course Differential ... #management #neurology