91 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
worsen with head position ... Positive Hallpike ... Positive head impulse ... #Algorithm #differential ... #diagnosis #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... #PhysicalExam #Clinical ... #Video #Positive ... #Neurology #Central ... #Vertigo
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Hallpike test: Positive ... patient with a clinical ... patient with a clinical ... impulse test: Positive ... Labyrinthitis #diagnosis #neurology
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
for diagnosis of CHF ... Positive reflux= ... #PhysicalExam #Clinical ... #VolumeStatus #Cardiology
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... SeptalThickening #CHF
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... - Tamponade Pulmonary ... • Alveoli: - CHF ... Pain #ChestPain #Differential ... Diagnosis #Causes #Cardiology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... underlying cause (CHF ... Stress, Nausea, Pulmonary ... #Hyponatremia #Differential ... Algorithm #diagnosis #nephrology
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... Indications: • CHF ... exacerbation (cardiogenic pulmonary ... patients (ie., CHF ... hair) • Risk Of Clinical
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... • Drugs • Pulmonary ... Reduced GFR, AKI/CRF ... #Hyponatremia #Nephrology ... #Differential #