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Causes of Dizziness / Lightheadedness - Differential Diagnosis Algorithm
Lightheaded, unsteady, disoriented - Non-vertigo
Organic Disease
 • Presyncope/Vasodepressor
Causes of Dizziness ... Arrhythmia • Orthostatic ... Disorder • Phobic Dizziness ... Somatization #Dizzy #Dizziness
Dizziness - Differential Diagnosis Framework
Vertigo:
 • Peripheral: Labyrinthitis, BPPV, Meniere's disease, Alternobaric
 • Central: CVA/TIA -
Dizziness - Differential ... Acute anemia, Orthostatic ... Chiefs @jmcchiefs #Dizziness
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
Dizziness - Differential ... Bradyarrhythmias, HOCM, PE • Orthostatic ... Chiefs @jmcchiefs #Dizziness
CLINICAL MANIFESTATIONS 
OF ADRENAL INSUFFICIENCY. 

Primary and secondary adrenal insufficiency:
 - Tiredness, weakness, mental depression
CLINICAL MANIFESTATIONS ... weight loss - Dizziness ... , orthostatic hypotension
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
evaluation of dizziness ... and evolution of dizziness ... ) that provoke dizziness ... categorize the dizziness ... into one of three clinical
Dizziness - Central and Peripheral Causes - Differential Diagnosis
Central Causes:
 • Cerebrovascular:  vertebrobasilar, TIA, Wallenburg,
Dizziness - Central ... Amy Chung, MD, MSc ... @AmyChung #Dizziness
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
causes (seizure, dizziness ... Ask about precipitating
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
syndrome) and orthostatic ... examination, including orthostatic ... should be guided by clinical
Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
 - Patient with knee in extension. Push posterior on
of patella then ask ... Patellar #Grind #clinical ... Patellofemoral #msk
5th metatarsal distal shaft fracture - Fracture detection on MSK ultrasound

The Ultrasound Site - MSK ultrasound
Fracture detection on MSK ... Ultrasound Site - MSK ... shaft #fracture #MSK ... POCUS #Ultrasound #Clinical