15 results
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... labyrinthitis) CENTRAL ... nose) • Head Position ... #Peripheral #Central ... symptoms #comparison #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... #physicalexam #Central ... Vertigo #diagnosis #neurology ... #bppv #comparison ... #table
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
may be present Central ... worsen with head position ... auditory findings BPPV ... • Short-lived, positional ... differential #diagnosis #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... into a supine position ... The patient is now ... Epley #Maneuver #BPPV ... #vertigo #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central ... vertigo (BPPV) ... CENTRAL VERTIGO ... #Peripheral #Central ... differential #diagnosis #neurology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
• Euvolemic (Low ... Diabetes insipidus (central ... Workup #Algorithm #nephrology ... #sodium
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... on examination table ... on the edge of table ... DixHallpike #Maneuver #BPPV ... Instructions #Diagnosis #neurology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
: SIADH, Renal Sodium ... can be high or low ... Primary polydipsia), Low ... differential #diagnosis #table ... #sodium #nephrology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... 20° over end of table ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
protein - Low ... sodium diet ... Citrate - Neutral ... Potassium citrate, neutral ... Management #Pediatrics #nephrology