27 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Varies • No neurologic ... auditory findings BPPV ... #differential #diagnosis ... #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Vertigo (BPPV) ... consistent with BPPV ... ) #Vertigo #BPPV ... Labyrinthitis #diagnosis ... #neurology #comparison
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... Central #Vertigo #diagnosis ... symptoms #comparison #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 ... Epley #Maneuver #BPPV ... #vertigo #neurology ... #physicalexam #management
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
Approaching a Difficult Colonoscopy ... rate • Fewer position ... Water assisted colonoscopy ... Summary #Endoscopy #diagnosis ... #management #algorithm
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
for Treatment of BPPV ... Epley #Maneuver #BPPV ... Benign #paroxysmal #positional ... #vertigo #neurology ... #physicalexam #management
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... to the upright position ... DixHallpike #Maneuver #BPPV ... #Instructions #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 ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
vertigo (BPPV) ... with significant neurologic ... attacks with varying neurologic ... #differential #diagnosis ... #neurology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... biopsy only if serology ... is positive Bidirectional ... change medical management ... Evaluation #workup #diagnosis