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diagnosis management differential physicalexam clinical vertigo video bppv instructions causes maneuver signs comparison msk rheumatology syndromes benign disease epley hematology
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... worsen with head position ... • Short-lived, positional ... No auditory symptoms ... Long symptom-free
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Benign Paroxysmal Positional ... BENIGN PAROXYSMAL POSITIONAL ... Hallpike test: Positive ... in head-hanging position ... Labyrinthitis #diagnosis #neurology
Platypnea-Orthodeoxia Syndrome on Physical Exam The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
Platypnea-Orthodeoxia Syndrome ... There is notable positional ... Symptoms occur when ... in the supine position ... from the supine position
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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 ... Positional symptoms ... Syndrome usually ... attacks with varying neurologic
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear Visual or auditory symptoms in conjunction
BEE Syndromes - ... Visual or auditory symptoms ... conjunction with symptoms ... diagnosis and treatment ... #neurology #inflammatory
Pisa Syndrome (pleurothotonus) on Physical Exam A tonic flexion of the trunk of the body to one
Pisa Syndrome (pleurothotonus ... mobilization or supine position ... Pathophysiology: ... Treatment: anticholinergics ... PhysicalExam #clinical #neurology
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 Epley Maneuver for Treatment of BPPV 1) The patient begins in an upright sitting posture, and the
Epley Maneuver for Treatment ... into a supine position ... remains in this position ... remains in this position ... remains in this position
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 Phimosis Inability to retract the foreskin - Can be normal up to 3 years old -
after age 4 Treatment ... back to anatomic position ... Comparison #Diagnosis #Urology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Leukostasis: • Pathophysiology ... Dehydration • Symptoms ... changes, stroke symptoms ... organ damage • Treatment ... : • Pathophysiology
Tolosa-Hunt Syndrome What? • Unilateral orbital/retrobulbar pain • Paresis of the cranial nerves Ill, IV, VI •
Tolosa-Hunt Syndrome ... or orbit (MRI) Treatment ... resolution of the symptoms ... #Tolosa #Hunt #Syndrome ... #TolosaHunt #neurology
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