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Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... change • Neurologic ... No auditory symptoms ... Long symptom-free ... #Algorithm #differential
HINTS Exam - Bidirectional Nystagmus In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... symptoms, this ... Clinical #Video #Positive ... #Neurology #Central ... #Vertigo
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 Causes of Peripheral and Central Vertigo PERIPHERAL VERTIGO 1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(Wallenberg's syndrome ... with significant neurologic ... Syndrome usually ... #Causes #differential ... #diagnosis #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm True Vertigo - Illusion of Rotary Movement Peripheral Vestibular
- Differential ... vomiting, auditory symptoms ... Dysfunction - Imbalance, neurologic ... symptoms/signs, ... #Neurology #Differential
Vertigo Differential Diagnosis and Management Algorithm Vertigo: Symptom of illusory movement because of asymmetry in the vestibular
Vertigo Differential ... Management Algorithm Vertigo ... : Symptom of illusory ... Management #Algorithm #neurology ... #Differential
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Hallpike test: Positive ... symptoms • Head ... in head-hanging position ... impulse test: Positive ... Labyrinthitis #diagnosis #neurology
Peripheral and Central Causes of Vertigo Peripheral Causes (Common): - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Central Causes of Vertigo ... fistula, Cogan's syndrome ... Wallenberg syndrome ... Central #Causes #differential ... #diagnosis #neurology
Dizziness and Vertigo Algorithm Presyncope: • Feels "faint" or like they are going to "pass out" •
Dizziness and Vertigo ... "pass out" • Symptoms ... consciousness Vertigo ... Algorithm #dizzy #differential ... #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... findings #signs #symptoms ... #comparison #neurology
Migraine with Aura Diagnostic Criteria (ICHD-3): A) At least 2 attacks fulfilling criteria B and C: B) One or
reversible aura symptoms ... visual aura, but symptoms ... • Brainstem: Vertigo ... is positive ... diagnosis #criteria #neurology
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