85 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... change • Neurologic ... Positive Hallpike ... Positive head impulse ... differential #diagnosis #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... CENTRAL cause of vertigo ... Clinical #Video #Positive ... #Neurology #Central ... #Vertigo
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... Hallpike test: Positive ... in head-hanging position ... impulse test: Positive ... Labyrinthitis #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
PERIPHERAL VERTIGO ... insufficiency (VBI) - Should ... with significant neurologic ... attacks with varying neurologic ... differential #diagnosis #neurology
The asphyxia escape reflex is assessed by placing the child in the prone position on the
child in the prone position ... seconds, the newborn should ... clinical #video #Neurology ... #Peds #Pediatrics
Carbon Monoxide Poisoning

Symptoms are non-specific:
 - Headache 90%
 - Nausea/vomiting 50%
 - Vertigo 50%
 - Altered
vomiting 50% - Vertigo ... affected (inc pets ... Treatment: 100%
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 ... rolls onto his/her shoulder ... paroxysmal #positional #vertigo ... #neurology #instructions
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
between them PEDS ... seizures #management #treatment ... #algorithm #peds ... #pediatrics #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Syndrome (PRES) - Treatment ... titratable IV meds ... potentially causative meds ... Encephalopathy #Syndrome #Treatment ... #Management #Neurology