9 results
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential ... Benign Paroxysmal Positional ... Dysfunction - Imbalance, neurologic ... Hemorrhage #Dizzy ... #Neurology #Differential
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... worsen with head position ... • Short-lived, positional ... or supine roll test ... #Algorithm #differential
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
Targeted Exam: HINTS, Dix-Hallpike ... • Vestibular (vertigo ... TiTrATE #Dizziness #dizzy ... #algorithm #differential ... #diagnosis #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... The test is positive ... toward the affected ear ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... 45° towards the test ... throughout the test ... #Dix #Hallpike ... Instructions #Diagnosis #neurology
Foster Maneuver (half somersault maneuver) for Treatment of BPPV
Some patient find this maneuver more easier with
Wait for any vertigo ... your affected ear ... i.e. if you feel dizzy ... Maneuver #BPPV #positional ... #vertigo #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... previous gaze position ... previous gaze position ... If ok with ICU team ... #PhysicalExam #neurology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
skin injury) • Neurologic ... syndrome (Clinical Dx ... is a skin prick test ... Behcet disease) Differential ... Giant retinal tears
Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
Benign paroxysmal positional ... vertigo (BPPV) ... neuritis • Clues: Vertigo ... Falls #Diagnosis #Differential ... Evaluation #Geriatrics #Neurology