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differential neurology dizziness algorithm causes central peripheral symptoms comparison avs bppv cva evaluation exam findings mastoiditis neuritis otolaryngology otology pathophysiology
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
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm True Vertigo - Illusion of Rotary Movement Peripheral Vestibular
- Differential Diagnosis ... • Labrynthitis ... neurologic symptoms/signs ... Hemorrhage #Dizzy ... #Differential #Diagnosis
Labyrinthitis Vestibular neuritis + unilateral hearing loss = Labyrinthitis 1) Vertigo (severe) 2) Gait instability 3)
Vestibular neuritis ... 1) Vertigo (severe ... inflammation of vestibular ... #Diagnosis #Symptoms ... #Signs #Otolaryngology
TiTrATE schema to approach to Dizziness • Time Course: Continuous or Episodic • Triggers: Present or
Targeted Exam: HINTS ... imprecise symptom: • Vestibular ... (vertigo) • Cardiovascular ... TiTrATE #Dizziness #dizzy ... #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
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
neuritis/labyrinthitis ... (vestibular neuritis ... 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 ... horizontal canal) Vestibular ... neuritis/labyrinthitis ... hearing loss (labyrinthitis ... #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
Dizziness - Differential Diagnosis Framework "Tell me what you mean by dizzy without using the word dizzy." Vertigo:
- Differential Diagnosis ... using the word dizzy ... Vertigo: • Peripheral ... : BPPV, Vestibular ... #Differential #Diagnosis
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.) Questions regarding the
Algorithm for the diagnostic ... (HINTS = head-impulse ... of dizziness or vertigo ... or continuous vestibular ... #Diagnosis #Dizzy
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