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differential management bppv signs dix dixhallpike hallpike physicalexam treatment vertigo disease aids algorithm animated arteritis barre behcet bowel cauda caudaequina
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
• Frequency of symptoms ... ) • Epley maneuver ... seen) • Epley maneuver ... Labyrinthitis #diagnosis ... #neurology #comparison
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... with vascular causes ... episodes caused ... No auditory symptoms ... Long symptom-free
Causes of Peripheral and Central Vertigo PERIPHERAL VERTIGO 1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... (Wallenberg's syndrome ... Positional symptoms ... Syndrome usually ... #differential #diagnosis
Dix-Hallpike Maneuver for BPPV Procedure: 1. Make the patient sit on examination table, such that the shoulders would
45° towards the test ... throughout the test ... Vertiginous symptoms ... #Instructions #Diagnosis ... #neurology
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary Use a positive diagnostic strategy with minimal testing.
Irritable Bowel Syndrome ... Summary Use a positive ... last 3 months + symptom ... cultures, but test ... risk • Routine colonoscopy
Rhombencephalitis BACTERIAL - Listeria (biphasic illness with bulbar dysfunction occurring later) - Mycobacterium tuberculosis - Pneumococcus - Brucella - Borrelia (Lyme Disease) -
encephalitis, West ... (bulbar symptoms ... Miller-Fisher GBS; Positive ... #Differential #Diagnosis ... #Causes #Neurology
Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
skin injury) • Neurologic ... meningitis), MCC CNS symptoms ... Skin lesions • Positive ... pathergy test ( ... #signs #symptoms
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
spine L1-L5 Symptoms ... - Emergency Causes ... • Provocative Tests ... absent anal wink test ... #causes #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
involvement: Intractable nausea ... Other brainstem syndromes ... complications (AQP4-positive ... Manifestations #diagnosis ... #neurology #symptoms
Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
regardless of symptoms ... pp65 antigenemia test ... inclusions or positive ... 50 or less: • Neurologic ... Retinitis (Most common cause
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