19 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... patient with vertigo symptoms ... worrisome for a CENTRAL ... Bidirectional #Nystagmus ... Positive #Neurology #Central
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Differential Diagnosis Algorithm ... vomiting, auditory symptoms ... unidirectonal nystagmus ... Bone Fracture Central ... bidirectional nystagmus
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... may be present Central ... No auditory symptoms ... Long symptom-free
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
head-impulse, nystagmus ... peripheral or central ... peripheral or central ... Timing of the symptom ... that provoke the symptom
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... labyrinthitis) CENTRAL ... circulation TIA • Nystagmus ... findings #signs #symptoms
Vertigo Differential Diagnosis and Management Algorithm
Vertigo: Symptom of illusory movement because of asymmetry in the vestibular
and Management Algorithm ... Vertigo: Symptom ... vestibular nerve, or central ... Diagnosis #Management #Algorithm
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Fibrillation Overview Symptoms ... Rate Control • ... Rhythm Control ... Cardiology #Management #Algorithm
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
• Changes in mental ... ophthalmoplegia and nystagmus ... treatment can improve symptoms
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Fatigue and IBD Algorithm ... diet/deficiency symptoms ... improvement w/ mental ... modifications Algorithm ... #Fatigue #IBD #Algorithm
Multiple Sclerosis - Summary

Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
disease of the central ... defect SIGNS/SYMPTOMS ... : • CENTRAL: Fatigue ... Incontinence • VISUAL: Nystagmus ... Signs and symptoms