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neurology symptoms differential dizziness algorithm central dizzy peripheral causes comparison pathophysiology bppv hypomagnesemia magnesium a4c cholesteatoma clinical clots complications deficiency
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 ... #diagnosis #neurology
Labyrinthitis Vestibular neuritis + unilateral hearing loss = Labyrinthitis 1) Vertigo (severe) 2) Gait instability 3)
Labyrinthitis ... hearing loss = Labyrinthitis ... 1) Vertigo (severe ... #Diagnosis #Symptoms ... #Signs #Otolaryngology
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... from Peripheral Vertigo ... TylerLarsenMD #HINTS ... Central #Peripheral #Vertigo ... #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... vestibular neuritis/labyrinthitis ... hearing loss (labyrinthitis ... #diagnosis #findings ... #signs #symptoms
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Peripheral Vertigo ... Vestibular neuritis/labyrinthitis ... hearing loss (labyrinthitis ... #differential #diagnosis
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm True Vertigo - Illusion of Rotary Movement Peripheral Vestibular
of Dizziness - Vertigo ... - Differential Diagnosis ... • Labrynthitis ... neurologic symptoms/signs ... #Differential #Diagnosis
Peripheral and Central Causes of Vertigo Peripheral Causes (Common): - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Central Causes of Vertigo ... paroxysmal positional vertigo ... neuritis (a.k.a. labyrinthitis ... as a "central vertigo ... #differential #diagnosis
Dizziness - Differential Diagnosis Framework Vertigo: • Peripheral: Labyrinthitis, BPPV, Meniere's disease, Alternobaric • Central: CVA/TIA -
- Differential Diagnosis ... Framework Vertigo ... • Peripheral: Labyrinthitis ... #Differential #Diagnosis ... #dizzy #vertigo
TiTrATE schema to approach to Dizziness • Time Course: Continuous or Episodic • Triggers: Present or
Targeted Exam: HINTS ... • Vestibular (vertigo ... #differential #diagnosis
Causes of Peripheral and Central Vertigo PERIPHERAL VERTIGO 1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... Vestibular neuritis/ labyrinthitis ... varying neurologic signs ... #differential #diagnosis
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