12 results
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... symptoms, this ... for a PERIPHERAL cause ... Clinical #Video #Negative ... #Neurology #Peripheral
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... symptoms, this ... for a CENTRAL cause ... Bidirectional #Nystagmus ... Video #Positive #Neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
vomiting, auditory symptoms ... unidirectonal nystagmus ... symptoms/signs, ... bidirectional nystagmus ... #Neurology #Differential
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
with vascular causes ... • Nystagmus: ... No auditory symptoms ... Long symptom-free ... differential #diagnosis #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... and torsional nystagmus ... symptoms • Head ... impulse test: Negative ... Labyrinthitis #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... with vascular causes ... circulation TIA • Nystagmus ... findings #signs #symptoms ... #comparison #neurology
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... "pass out" • Symptoms ... Associated with nausea ... Dysequilibrium: • Feels unable ... differential #diagnosis #neurology
Mastoiditis: Pathogenesis and clinical findings

Acute or Chronic Otitis Media -> 
Stage 1: Hyperemeia of the mastoid
vomiting, dizziness, vertigo ... , nystagmus • ... #Mastoiditis #pathophysiology ... #signs #symptoms ... #diagnosis #otology
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs/symptoms ... Blood cultures/serology ... Blood cultures/serology ... in up to 30% of cases ... Marantic #diagnosis #table
Varicocele: Pathogenesis and clinical findings
Primary:
 - Anatomically: the left spermatic vein drains into the left renal
into the left renal ... retroperitoneal masses ... #Varicocele #Pathophysiology ... #Signs #Symptoms ... #Urology #Diagnosis