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diagnosis differential neurology algorithm dizziness management pathophysiology treatment causes dizzy findings hypomagnesemia magnesium peripheral physicalexam syndrome addisons adrenal allergy anaphylaxis
HINTS Exam - Bidirectional Nystagmus In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... symptoms, this ... worrisome for a CENTRAL ... Bidirectional #Nystagmus ... Positive #Neurology #Central
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 Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm True Vertigo - Illusion of Rotary Movement Peripheral Vestibular
vomiting, auditory symptoms ... unidirectonal nystagmus ... Bone Fracture Central ... /signs, bidirectional ... nystagmus - Infection
Causes of Peripheral and Central Vertigo PERIPHERAL VERTIGO 1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central ... CENTRAL VERTIGO ... 67% had headache ... varying neurologic signs ... #Peripheral #Central
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) • Latency (delay
Latency (delay in nystagmus ... symptoms in head-hanging ... and torsional nystagmus ... and nystagmus escalates ... testing #findings #signs
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... #findings #signs ... #symptoms #comparison
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... may be present Central ... vascular causes • Nystagmus ... No auditory symptoms ... Long symptom-free
Labyrinthitis Vestibular neuritis + unilateral hearing loss = Labyrinthitis 1) Vertigo (severe) 2) Gait instability 3)
Labyrinthitis 1) Vertigo ... vestibular CN VIII • Nystagmus ... Labyrinthitis #Diagnosis #Symptoms ... #Signs #Otolaryngology
CLINICAL MANIFESTATIONS OF ADRENAL INSUFFICIENCY. Primary and secondary adrenal insufficiency: - Tiredness, weakness, mental depression
thyroid disease - Central ... delayed puberty - Headache ... , visual symptoms ... Insufficiency #Signs ... #Symptoms #Adrenal
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Approach to Headaches ... lyme • Altered mental ... • Meningeal signs ... ) • Systemic symptoms ... and signs (e.g.
Signs and Symptoms Associated With Different Headache Etiologies • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... Etiologies • Nonfocal mental ... poisoning • Mental ... vasoconstriction syndrome, central ... #signs #symptoms
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