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neurology testing bppv management nephrotic peripheral workup algorithm challenges cold criticalcare differential disease dizziness findings fluid glomerulonephritis hints hyperkalemia initial
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... following a finger) • Test ... #diagnosis #neurology ... #bppv #comparison ... #table
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Paroxysmal Positional Vertigo ... ) • 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 ... may be present Central ... with vascular causes ... positional episodes caused ... #neurology
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
Peripheral and Central ... with vascular causes ... #Vertigo #diagnosis ... signs #symptoms #comparison ... #neurology
Cold Urticaria Prevalence - 0.05% in the population Disease onset - Mostly 2nd to 4th decades of life Causes
decades of life Causes ... Disorientation, vertigo ... Diagnostic tests ... #rheumatology #comparison ... #table
Recommended initial testing for patients being evaluated for glomerular disease 24-hour urine collection - Quantify proteinuria.
Spot PC (protein ... C3, C4 - Test for ... infections are common causes ... testing #workup #diagnosis ... nephrotic #nephritic #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 1) 24-hour urine collection - Quantify proteinuria.
Spot PC (protein ... . 5) C3, C4 - Test ... infections are common causes ... #workup #diagnosis ... initial #testing #nephrology
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
after a challenge maneuver ... cardiac output causes ... expiratorv hold maneuver ... Tolerance #testing #diagnosis ... #criticalcare #comparison
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Cortisol+ACTH stim test ... only if no clear cause ... Elimination (see Table ... Ca-gluconate or 1g CaCl- (central ... Treatment #potassium #nephrology
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