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TiTrATE Approach to Vertigo TiTrATE approach stands for Timing, Triggers and Targeted Examination. 4 vestibular syndromes that are
4 vestibular syndromes ... episodic vestibular syndrome ... (eg BPPV, orthostatic ... acute vestibular syndrome ... (eg central cause
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
frequently benign causes ... carotid sinus syndrome ... ) and orthostatic ... life-threatening causes ... examination, including orthostatic
Renal Nutcracker Syndrome Pathophysiology Nutcracker syndrome = compression of the left renal vein between the aorta and
Renal Nutcracker Syndrome ... Pathophysiology Nutcracker syndrome ... Can cause microscopic ... /- flank pain, orthostatic ... Renal #Nutcracker #Syndrome
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Vasovagal • Orthostatic ... • Sick Sinus Syndrome ... • Tachy-Brady Syndrome ... Diagnosis #Algorithm #causes
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Fever • UTI Orthostatic ... • Fanconi's syndrome ... sediment - WBC/RBC casts ... Diagnosis #Algorithm #Causes
Causes of Syncope - Differential Diagnosis Algorithm Cardiac - Arrhythmia: • Tachyarrhythmia • Bradyarrhythmia • Supraventricular Tachycardia
Causes of Syncope ... • Sick-Sinus Syndrome ... Embolus • Other Orthostatic ... Diagnosis #Algorithm #Causes
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
bradycardia • Sinus pauses ... • Massive PE Orthostatic ... Subclavian steal syndrome ... Classification #Table #Causes
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
: Most Common Cause ... Adrenalitis Other causes ... hyperpigmentation (95%), orthostatic ... Causes of Secondary ... hypophysitis, Sheehan's syndrome
Causes of Erythema Nodosum - Mnemonic NO cause found in 60% of cases Drugs (antibiotics e.g., sulfonamides, amoxicillin) Oral
Causes of Erythema ... Mnemonic NO cause ... found in 60% of cases ... Sarcoidosis or Lofgren's syndrome ... Nodosum #Mnemonic #Causes
Hyperthermic Syndromes - This table summarizes the similarities and differences between some toxicologic causes of hyperthermic
Hyperthermic Syndromes ... some toxicologic causes ... of hyperthermic syndromes ... • Serotonin syndrome ... #Hyperthermic #Syndromes
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