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Causes of Vertigo - Differential Diagnosis Algorithm
#Diagnosis #Neurology #Dizziness #Peripheral #Central #Algorithm #BPPV #Differential #Ddxof
Dizziness #Peripheral #Central ... #Algorithm #BPPV
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... than a minute for BPPV ... posterior canal BPPV ... labyrinthitis) CENTRAL ... #Peripheral #Central
Dizziness - Central and Peripheral Causes - Differential Diagnosis
Central Causes:
 • Cerebrovascular:  vertebrobasilar, TIA, Wallenburg,
Dizziness - Central ... Differential Diagnosis Central ... Acoustic Neuroma • BPPV ... #Dizziness #Central
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... #physicalexam #Central ... diagnosis #neurology #bppv
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Positional Vertigo (BPPV ... ) • Latency (delay ... findings #signs #bppv
TiTrATE Approach to Vertigo
TiTrATE approach stands for Timing, Triggers and Targeted Examination.
4 vestibular syndromes that are
vestibular syndrome (eg BPPV ... vestibular syndrome (eg central
Dizziness - Differential Diagnosis Framework
Vertigo:
 • Peripheral: Labyrinthitis, BPPV, Meniere's disease, Alternobaric
 • Central: CVA/TIA -
Labyrinthitis, BPPV ... Alternobaric • Central
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
• Peripheral: BPPV ... Meniere's Disease • Central
Central retinal artery occlusion (CRAO). Positive "spot sign" on Ocular Ultrasound

78 yo M with sudden onset
Central retinal ... MaimoUltrasound #CRAO #Central ... Embolus #Clinical #POCUS
Ocular Ultrasound Pocketcard
Painless Vision Loss
 • Retinal Detachment 
 • Posterior Vitreous Detachment 
 • Vitreous
Hemorrhage • Central ... Periorbital Edema - POCUS ... Ocular #Ultrasound #pocus