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Algorithm and Differential Diagnosis of Tinnitus #Diagnosis #EM #ENT #PrimaryCare #Tinnitus #Differential #Algorithm #RedFlags #Ddxof
Differential Diagnosis of Tinnitus ... #PrimaryCare #Tinnitus
SNOOP mnemonic may catch potentially life-threatening headaches Systemic signs and disorders Neurologic symptoms Onset new or changed & patient
disorders Neurologic symptoms ... Papilledema, Pulsatile tinnitus
Migraine with Aura Diagnostic Criteria (ICHD-3): A) At least 2 attacks fulfilling criteria B and C: B) One or
reversible aura symptoms ... visual aura, but symptoms ... Vertigo, Dysarthria, Tinnitus ... least one aura symptom ... least one aura symptom
Subjective Tinnitus: Pathogenesis and clinical findings Subjective Tinnitus - Perceived sound with no acoustic stimulus, heard only
Subjective Tinnitus ... findings Subjective Tinnitus ... Note: Objective tinnitus ... care provider #Tinnitus
Differential Algorithm for Tinnitus - Pulsatile vs Non-Pulsatile #Tinnitus #Differential #Algorithm #Diagnosis #Pulsatile #Nonpulsatile
Algorithm for Tinnitus ... Non-Pulsatile #Tinnitus
Meniere Disease - Endolymphatic hydrops - TRIAD 1 Episodic vertigo (a true spinning sensation) 2 Sensorineural
hearing loss 3 Tinnitus
Vestibular Schwannoma (Acoustic Neuroma) Clinical • Hearing loss and tinnitus (Cochlear nerve) • Ataxia
Hearing loss and tinnitus
Peripheral Vertigo Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo. Benign
Time course and symptoms ... hypoacusia or tinnitus
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
15 eos/hpf • Symptoms ... : Persistent symptoms ... decrease in a symptom ... : Decreased symptoms ... : Symptom resolution
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
No auditory symptoms ... Méniére's disease • Tinnitus ... Long symptom-free
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