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Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Fibrillation Overview Symptoms ... light-headedness, dizziness ... Valvular heart disease ... Structural heart disease ... : • Pulmonary disease
Parkinson's Disease - Signs and Symptoms
Systemic: Tremor and Slowness, Impaired balance, Small Handwriting, Sleepiness, Trouble Moving
Parkinson's Disease ... - Signs and Symptoms ... intellectual functioning, Dizziness ... #Parkinsons #Disease ... #Signs #Symptoms
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Causes of Dizziness ... vomiting, auditory symptoms ... • Meniere's Disease ... Imbalance, neurologic symptoms ... Hemorrhage #Dizzy #Dizziness
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Algorithm for Dizziness ... No auditory symptoms ... test Méniére's disease ... Long symptom-free ... intervals #Dizziness
CLINICAL MANIFESTATIONS 
OF ADRENAL INSUFFICIENCY. 

Primary and secondary adrenal insufficiency:
 - Tiredness, weakness, mental depression
weight loss - Dizziness ... Autoimmune thyroid disease ... nervous system symptoms ... Headache, visual symptoms ... Insufficiency #Signs #Symptoms
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Insufficiency Addison's Disease ... Lymphoma Metastatic Disease ... insufficiency - Celiac disease ... Salt craving • Dizziness ... insufficiency #addisons #disease
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
A-Fib) Summary Symptoms ... light-headedness, dizziness ... Valvular heart disease ... • Pulmonary disease ... possibly better: • Symptom
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Congenital heart disease ... Congenital heart diseases ... AVNRT Red Flag Symptoms ... acquired heart disease ... Lightheadedness/dizziness
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
evaluation of dizziness ... and evolution of dizziness ... ) that provoke dizziness ... Timing of the symptom ... that provoke the symptom
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
to approach to Dizziness ... additional history "Dizziness ... yet imprecise symptom ... TylerLarsenMD #TiTrATE #Dizziness