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Mastoiditis: Pathogenesis and clinical findings Acute or Chronic Otitis Media -> Stage 1: Hyperemeia of the mastoid
Obstructed ET= rupture ... vomiting, dizziness, vertigo ... , nystagmus •
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) • Latency (delay
Latency (delay in nystagmus ... and torsional nystagmus ... and nystagmus escalates ... 30 seconds • Nystagmus ... sitting position • Nystagmus
HINTS Exam - Bidirectional Nystagmus In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... a patient with vertigo ... CENTRAL cause of vertigo ... Bidirectional #Nystagmus ... Neurology #Central #Vertigo
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 HINTS Exam - Unidirectional Nystagmus - Left-beating In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... a patient with vertigo ... PERIPHERAL cause of vertigo ... Unidirectional #Nystagmus ... Neurology #Peripheral #Vertigo
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 The HINTS Exam - Differentiating Central vs Peripheral Vertigo Head Impulse Test Nystagmus Test of Skew Animation by Dr. Y.
vs Peripheral Vertigo ... Impulse Test Nystagmus ... PhysicalExam #Testing #Vertigo
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 Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm True Vertigo - Illusion of Rotary Movement Peripheral Vestibular
of Dizziness - Vertigo ... Algorithm True Vertigo ... unidirectonal nystagmus ... Paroxysmal Positional Vertigo ... bidirectional nystagmus
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo ... Peripheral Vertigo ... minutes to days • Nystagmus ... present Central Vertigo ... vascular causes • Nystagmus
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... BPPV); worsens vertigo ... circulation TIA • Nystagmus
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... Central #Peripheral #Vertigo
Lateral Medullary Syndrome - Wallenberg's Syndrome Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Nausea/vomiting/vertigo ... /nystagmus - Vestibular
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