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The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
#Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior ... #CVA #Peripheral ... #Testing #HIT #
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
with vascular causes ... , such as with posterior ... #Vertigo #diagnosis ... signs #symptoms #comparison ... #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... thrombosis Testing ... the underlying cause ... with AEDs until cause ... #management #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... and Central Vertigo ... Occlusion of posterior ... #differential #diagnosis ... #neurology
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
Blood cultures/serology ... intravenous drug use, Central ... Blood cultures/serology ... #Endocarditis #comparison ... #table
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... components: targeted neurologic ... disposition, even if the cause ... CNS, Central nervous ... #Posterior #CVA
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Fluid Tolerance Testing ... cardiac output causes ... #diagnosis #criticalcare ... #comparison #challenges ... #management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... only if no clear cause ... Elimination (see Table ... or 1g CaCl- (central ... #potassium #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome • Diagnosis ... hyperreactivity • Urologic ... irrigation • Management ... Kidney stones caused ... #Medications #Table