17 results
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
evaluation of dizziness ... head-impulse, nystagmus, test ... of dizziness or vertigo ... #Diagnosis #Dizzy ... #Differential #Evaluation
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... reproduction of vertigo ... ) • Epley maneuver ... saccade seen) • Epley ... Labyrinthitis #diagnosis
Dizziness - Differential Diagnosis Framework
Vertigo:
 • Peripheral: Labyrinthitis, BPPV, Meniere's disease, Alternobaric
 • Central: CVA/TIA -
- Differential Diagnosis ... Framework Vertigo ... Alternobaric • Central: CVA ... #Differential #Diagnosis ... #dizzy #vertigo
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
• A Targeted Exam ... • Vestibular (vertigo ... TiTrATE #Dizziness #dizzy ... #differential #diagnosis
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
patient with normal exam ... 9.2, LR- 0.09 Best ... test characteristics ... #physicalexam #diagnosis ... #neurology #cva
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... from Peripheral Vertigo ... following a finger) • Test ... Central #Peripheral #Vertigo ... #diagnosis #neurology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
up an ischemic CVA ... A) Initial Evaluation ... review • Physical exam ... Evaluate ischemic CVA ... stroke #workup #diagnosis
Failure to Thrive - Evaluation Checklist
 • History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &
Failure to Thrive - Evaluation ... support & neglect • Exam ... VS, HEENT (oral exam ... Labwork: CMP (Ca ... #Checklist #diagnosis
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... Vital signs, neuro exam ... Electrolytes including Ca ... Checklist #Delirium #Evaluation ... #CriticalCare #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... b) CHF c) CVA ... determine if stress test ... perioperative #Risk #Evaluation ... stratification #diagnosis