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PECARN Head CT Decision Aid

The Head CT Choice decision aid was developed in Rochester, Minnesota. Full
PECARN Head CT Decision ... Aid The Head ... CT Choice decision ... elsewhere.9 The decision ... disadvantages of cranial CT
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... • Head Impulse ... : Head thrust 10 ... Central #Peripheral #Vertigo ... #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... Can worsen with head ... Positive head impulse ... #Algorithm #differential ... #diagnosis #neurology
Causes of Dizziness - Vertigo and Lightheadedness - Differential Diagnosis Algorithm
 • True Vertigo - Illusion
of Dizziness - Vertigo ... and Lightheadedness ... - Differential ... #Dizzy #Neurology ... #Differential #
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
with significant neurologic ... and 67% had headache ... attacks with varying neurologic ... #Causes #differential ... #diagnosis #neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Exam - Normal Head ... patient as a normal head ... test to the left and ... a patient with vertigo ... Clinical #Video #Neurology
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... consciousness Vertigo ... movement of the head ... Algorithm #dizzy #differential ... #diagnosis #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential ... Dysfunction - Nausea and ... usually imbalance and ... Dysfunction - Imbalance, neurologic ... #Neurology #Differential
Vertigo Differential Diagnosis and Management Algorithm
Vertigo: Symptom of illusory movement because of asymmetry in the vestibular
Vertigo Differential ... Diagnosis and Management ... Algorithm Vertigo ... Management #Algorithm #neurology ... #Differential
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Central Vertigo ... labyrinthitis • Head ... toward nose) • Head ... can worsen with head ... symptoms #comparison #neurology