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diagnosis symptoms pathophysiology neurology radiology physicalexam video differential sign ctchest hints radiologyassistant cardiology management msk peripheral psychiatry algorithm central endocrinology
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
Nystagmus: Usually torsional ... BPPV; horizontal-torsional ... with vascular causes ... spontaneous and purely torsional ... #signs #symptoms
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm True Vertigo - Illusion of Rotary Movement Peripheral Vestibular
Causes of Dizziness ... - Vertigo - Differential ... Algorithm True Vertigo ... neurologic symptoms/signs ... Diagnosis #Algorithm #Causes
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
• Auditory findings ... with vascular causes ... positional episodes caused ... horizontal canal) Vestibular ... auditory symptoms (vestibular
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) • Latency (delay
Classic Findings ... nystagmus and vertigo ... forehead) and torsional ... physicalexam #testing #findings ... #signs #bppv #vertigo
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Paroxysmal Positional Vertigo ... with upbeat and torsional ... reproduction of vertigo ... patient with a clinical ... patient with a clinical
Labyrinthitis Vestibular neuritis + unilateral hearing loss = Labyrinthitis 1) Vertigo (severe) 2) Gait instability 3)
Labyrinthitis Vestibular ... Labyrinthitis 1) Vertigo ... instability 3) Nausea ... hearing loss Clinical ... Diagnosis #Symptoms #Signs
Lateral Medullary Syndrome - Wallenberg's Syndrome Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Artery occlusion) Clinical ... Findings: • Nausea ... /vomiting/vertigo ... /nystagmus - Vestibular
HINTS Exam - Bidirectional Nystagmus In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... symptoms, this finding ... for a CENTRAL cause ... of vertigo. ... #PhysicalExam #Clinical
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 HINTS Exam - Unidirectional Nystagmus - Left-beating In a patient with vertigo symptoms, this finding is reassuring
a patient with vertigo ... symptoms, this finding ... for a PERIPHERAL cause ... of vertigo. ... #PhysicalExam #Clinical
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 HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew) In a patient with vertigo symptoms, this
a patient with vertigo ... symptoms, this finding ... for a CENTRAL cause ... of vertigo. ... #PhysicalExam #Clinical
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