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diagnosis differential table vertigo algorithm hints management rheumatology symptoms ascites associated avs bppv cancer cardiology chf classification clinical criticalcare cushings
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... Central from Peripheral ... following a finger) • Test ... #diagnosis #neurology ... #bppv #comparison
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
and Central Vertigo ... with vascular causes ... diagnosis #findings #signs ... #symptoms #comparison ... #neurology
Causes of Peripheral and Central Vertigo PERIPHERAL VERTIGO 1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... (Wallenberg's syndrome ... Syndrome usually ... signs or symptoms ... #Peripheral #Central
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
• Acute stroke syndromes ... lesions of the central ... Lesions Of The Peripheral ... Lack of UMN/LMN signs ... Differential #Diagnosis #neurology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... glomeruli, and peripheral ... gastrointestinal, and/or central ... purpura: strong sign ... retinopathy Lab Tests
Rhombencephalitis BACTERIAL - Listeria (biphasic illness with bulbar dysfunction occurring later) - Mycobacterium tuberculosis - Pneumococcus - Brucella - Borrelia (Lyme Disease) -
encephalitis, West ... , CMV, VZV) - Rabies ... Toxoplasmosis AUTOIMMUNE/VASCULITIS ... Differential #Diagnosis #Causes ... #Neurology
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... Physical Exam: ... wave (LR 5.3), peripheral ... dullness, puddle sign
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... affects the skin, neurologic ... Angiitis of the Central ... cognitive impairment, neurologic ... tract, and often causes
Hearing Loss - Differential Diagnosis Framework Hearing Loss Types: • Conductive • Sensorineural • Mixed Presbycusis is the most common type
include a: • Neurologic ... • Stroke • Vasculitis ... hearing loss Exam ... cause unknown) ... II ○ Susac’s syndrome
Oncologic Emergencies - Differential Diagnosis Framework HEMATOLOGIC ONCOLOGIC EMERGENCIES: Hyperviscosity Syndrome: • Spontaneous bleeding • Shortness of breath
Hyperviscosity Syndrome ... of breath • Neurologic ... deficits (peripheral ... • Dyspnea at rest ... Progressive decline in mental
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