34 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... with vascular causes ... test Méniére's disease ... Long symptom-free ... #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Causes of Dizziness ... Diagnosis Algorithm ... • Meniere's Disease ... #Neurology #Differential ... #Diagnosis #Algorithm
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
of Vertigo Peripheral ... Causes (Common) ... , Méniére disease ... #differential #diagnosis ... #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... Méniére's disease ... Long symptom-free ... Disease onset usually ... #diagnosis #neurology
Causes of Dizziness / Lightheadedness - Differential Diagnosis Algorithm
Lightheaded, unsteady, disoriented - Non-vertigo
Organic Disease
 • Presyncope/Vasodepressor
Causes of Dizziness ... - Differential Diagnosis ... disoriented - Non-vertigo ... Organic Disease ... Lightheadedness #Neurology
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... consciousness Vertigo ... Associated with nausea ... #differential #diagnosis ... #neurology #management
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... tinnitus (Méniére's disease ... with vascular causes ... #diagnosis #findings ... symptoms #comparison #neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Chorioretinitis • Diagnosis ... lesions • 80% with lung ... #differential #diagnosis ... #causes #radiology ... #neurology
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY

RED FLAGS - In all cases there are specific
markers which
FLAGS - In all cases ... suspicion of severe disease ... splenomegaly, abnormal neurology ... Rheumatology ... Peds #Pediatrics #Diagnosis
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Chronic lung ... lymphocytic interstitial lung ... and M panel Management ... DDX - Other causes ... #diagnosis #management