34 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... worsen with head position ... change • Neurologic ... • Short-lived, positional ... test Méniére's disease
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Méniére's disease ... with significant neurologic ... course of the disease ... Disease onset usually ... attacks with varying neurologic
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
of Dizziness - Vertigo ... Benign Paroxysmal Positional ... • Meniere's Disease ... Dysfunction - Imbalance, neurologic ... #Neurology #Differential
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Central Causes of Vertigo ... Benign paroxysmal positional ... vertigo, Méniére ... disease, Perilymphatic ... differential #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
labyrinthitis • Head Position ... tinnitus (Méniére's disease ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
of the affected ear ... into a supine position ... that the opposite ear ... #vertigo #neurology ... #physicalexam #management
Diagnosis and Management of Idiosyncratic Drug-induced Liver Injury (DILI)

DILI Types:
 • Intrinsic - predictable, dose dependent
Diagnosis and Management ... symptoms of liver disease ... #gastroenterology ... #algorithm #gastroenterology ... #hepatology
Management of Low Risk (Mild Severity) Crohns Disease 
Asymptomatic or Incidentally Discovered on Endoscopy 
 •
Management of Low ... 6 months for 1 year ... needed 2x in one year ... #Management #LowRisk ... #Mild #Gastroenterology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
underlying liver disease ... Hepatitis Procedures Management ... Failure #Cirrhosis #Hepatology ... #gastroenterology ... #management #diagnosis
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Benign #paroxysmal #positional ... #vertigo #neurology ... #physicalexam #management