108 results
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... Hallpike test: Positive ... consistent with BPPV ... Labyrinthitis #diagnosis ... #neurology #comparison
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 ... Central #Vertigo #diagnosis ... signs #symptoms #comparison
Important Biostatistics and Epidemiology Equations

Sensitivity = TP / (TP + FN) = true positives / disease
TP + FN) = true positives ... disease absent Positive ... / all positives ... #calculations #diagnosis ... #specificity #PPV
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... auditory findings BPPV ... • Short-lived ... Positive Hallpike ... #differential #diagnosis
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Peripheral #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
Central retinal artery occlusion (CRAO). Positive "spot sign" on Ocular Ultrasound

78 yo M with sudden onset
Positive "spot sign ... " on Ocular Ultrasound ... POCUS #Ocular #Ultrasound
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Positional Vertigo (BPPV ... #differential #diagnosis ... #comparison #table
Gram Stain - Bacteria Identification Algorithm
Gram Positive:
 • Rods: Oxidase+, Oxidase-, Fastidious, Anaerobic, Curved
 • Cocci:
Algorithm Gram Positive ... Rods: Branching, Spores ... #microbiology #diagnosis
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... Supports the patient ... to the upright position ... DixHallpike #Maneuver #BPPV ... #Instructions #Diagnosis
Summary of Agents Potentially Contributing to False Positives on Urine Drug Screens (UDS)
Marijuana Metabolites
 • dronabinol,
Contributing to False Positives ... Rate of False Positives ... • mouthwash, short-chain ... result in false positives ... Testing #Laboratory #diagnosis