90 results
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
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
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
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis Vestibular ... Labyrinthitis 1) Vertigo ... instability 3) Nausea ... inflammation of vestibular ... Diagnosis #Symptoms #Signs
Whirlpool Sign of Testicular Torsion on Scrotal POCUS
Is that a hurricane? 17 yo with testicular pain
Whirlpool Sign of ... Testicular Torsion ... Beautiful Whirlpool sign ... Testicular torsion ... #whirlpool #sign
The whirlpool sign of acute testicular torsion. Always nice to clinch the diagnosis.

Dr. Howard T Heller
The whirlpool sign ... of acute testicular ... torsion. ... #whirlpool #sign ... #torsion #testicular
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... Vestibular neuritis ... without an obvious cause ... varying neurologic signs ... #Causes #differential
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... occlusion) Clinical Findings ... : • Nausea/vomiting ... /vertigo/nystagmus ... - Vestibular nucleus
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Lung Ultrasound Findings ... sliding/barcode sign ... Consolidations - "Shred" sign ... pleura in severe cases ... differential #diagnosis #signs