19 results
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
torsional and upbeat (fast ... with vascular causes ... , downbeating (fast ... diagnosis #findings #signs ... symptoms #comparison #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Sudden, severe, can last ... may be present Central ... with vascular causes ... auditory findings BPPV ... differential #diagnosis #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
worrisome for a CENTRAL ... cause of vertigo ... Nystagmus #HINTS #PhysicalExam ... Clinical #Video #Positive ... #Neurology #Central
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
HIT) result is positive ... with a peripheral cause ... cause of AVS. ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... positional vertigo (BPPV ... several days but can last ... signs or symptoms ... differential #diagnosis #neurology
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
Hoffman's sign. ... this specific case ... #Reflex #Positive ... clinical #video #neurology ... #PhysicalExam
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
syphilis) Meaning: Positive ... test (Romberg's sign ... Observe when patient closes ... Rombergs #Test #neurology ... proprioception #physicalexam
Ureteral Stone on Renal POCUS

A 23yo male with no significant PMHx presents with acute LLQ pain,
Stone on Renal POCUS ... Bladder ultrasound ... After you control ... DC home (w/ op urology ... controlled, & no signs
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
without warning signs ... Petechiae or positive ... and no apparent focus ... the following signs ... metrorrhagia, central
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Acute meningeal signs ... • Gram stain: Positive ... 90% • Culture: Positive ... culture or by serology ... differential #diagnosis #neurology