159 results
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... BENIGN PAROXYSMAL POSITIONAL ... ) • Hallpike test ... • Head impulse test ... in head-hanging position
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... Benign Paroxysmal Positional ... in head-hanging position ... in head-hanging position ... in head-hanging position
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
worsen with head position ... • Short-lived, positional ... Positive Hallpike test ... or supine roll test ... Positive head impulse test
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
into a supine position ... remains in this position ... remains in this position ... 4) The patient rolls ... remains in this position
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
POCUS Stewardship ... Indication → Pre-test ... Step 2: Pre-test ... Develop a pre-test ... assign a final post-test
In a patient in the supine position, raising the leg with the knee extended stretches the
in the supine position ... A positive test ... (Fajersztajn’s test ... in a positive test ... This test is 90%
ICU Hypotension - Evaluation Algorithm

OFTEN Mnemonic:

OWN THE PULSE PRESSURE 

FEEL YOUR PATIENT'S LEGS 

TEST FOR FLUID
PATIENT'S LEGS TEST ... RESPONSIVENESS ECHO/POCUS
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Epidemiology: • Rest ... • Pain is not positional ... perform provocative tests
Sensitivity is the proportion of truly diseased persons in the screened population who are identified as
the screening test ... probability that the test ... identified by the test ... the screening test ... it has a narrow focus
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Renal ultrasound, Tests ... sodium loading test ... saline infusion test ... conditions (supine position ... dexamethasone suppression test