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differential headache algorithm management otolaryngology otology signs symptoms vertigo acute aids anisocoria cancer causes challenges clinical clues cns comparison cord
TiTrATE Approach to Vertigo TiTrATE approach stands for Timing, Triggers and Targeted Examination. 4 vestibular syndromes that are
4 vestibular syndromes ... (eg vertebral artery ... dissection, barotrauma ... (eg central cause ... #diagnosis #acute
Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
month following neck ... consistent with a diagnosis ... such as a carotid artery ... dissection, tumors ... #physicalexam #neurology
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 Lateral Medullary Syndrome - Wallenberg's Syndrome Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Inferior Cerebellar Artery ... Clinical Findings: • Nausea ... Palatal myoclonus - Central ... #Wallenbergs #neurology ... #diagnosis
Causes of Peripheral and Central Vertigo PERIPHERAL VERTIGO 1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Can occur with neck ... inferior cerebellar artery ... (Wallenberg's syndrome ... Syndrome usually ... #differential #diagnosis
Ear Pain (Otalgia) - Differential Diagnosis Framework Primary Otalgia - Pain that originates from the ear
- Differential Diagnosis ... reflux • Head and neck ... placement, carotid artery ... TMJ • Head, neck ... #differential #diagnosis
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
papilledema • Horner syndrome ... lyme • Altered mental ... deficits • Temporal artery ... Stroke, carotid dissection ... #Algorithm #neurology
13 Dangerous Causes of Headache: - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
13 Dangerous Causes ... dissection: unilateral ... pain involving neck ... thrombophilia, neurologic ... postpartum #Diagnosis
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... dysfunction Central ... Anterior spinal artery ... #differential #diagnosis ... #neurology
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... symptoms are not caused ... ): 50% remits spontaneously ... remission less likely after ... General: fever,
Oncologic Emergencies - Differential Diagnosis Framework HEMATOLOGIC ONCOLOGIC EMERGENCIES: Hyperviscosity Syndrome: • Spontaneous bleeding • Shortness of breath
- Differential Diagnosis ... of breath • Neurologic ... paradoxus • Beck ... Progressive decline in mental ... #differential #diagnosis
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