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Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... with vascular causes ... positional episodes caused ... #differential #diagnosis ... #neurology
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
with vascular causes ... nose) • Head Position ... worsen with head position ... #diagnosis #findings ... symptoms #comparison #neurology
Dizziness and Vertigo Algorithm Presyncope: • Feels "faint" or like they are going to "pass out" •
Dizziness and Vertigo ... consciousness Vertigo ... Associated with nausea ... #differential #diagnosis ... #neurology #management
Warm Antibody Autoimmune Hemolytic Anemia 1) DIAGNOSE AIHA • Anemia: macrocytic > normocytic, ↑ reticulocytes •
Hemolytic Anemia 1) DIAGNOSE ... autoantibodies: positive ... → schizocytes, Positive ... 2) LOOK FOR a cause ... #management #treatment
Carbon Monoxide Poisoning Symptoms are non-specific: - Headache 90% - Nausea/vomiting 50% - Vertigo 50% - Altered
Headache 90% - Nausea ... vomiting 50% - Vertigo ... Subjective weakness 20% Diagnosis ... Treatment: 100% ... #management
Non-Invasive Positive Pressure Ventilation Indications: • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Non-Invasive Positive ... mortality), Other causes ... airway / remove mask ... #Ventilation #diagnosis ... #management #indications
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Erythematosus (SLE) - Diagnosis ... and Management ... in 60-80% of cases ... life-threatening • Treatment ... Erythematosus #Diagnosis
Pneumocystis jirovecii Pneumonia Clinical • Caused by Pneumocystis jirovecii (formerly carinil) • Immunocompromised host
Clinical • Caused ... • Seen in HIV positive ... often elevated Treatment ... PJP #Pneumonia #Diagnosis ... #Management
Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
50 years in men Diagnosis ... antibodies - MuSK-positive ... More likely to cause ... glucocorticoids - can cause ... #management #neurology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Then, ask 3 questions ... the underlying cause ... #Treatment #management ... #nephrology #sodium
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