11 results
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
of Dizziness - Vertigo ... Algorithm True Vertigo ... neurologic symptoms/signs ... Hemorrhage #Dizzy ... #Dizziness #Vertigo
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Nystagmus: Usually torsional ... BPPV; horizontal-torsional ... (vestibular neuritis ... spontaneous and purely torsional ... diagnosis #findings #signs
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
imprecise symptom: • Vestibular ... (vertigo) • Cardiovascular ... TiTrATE #Dizziness #dizzy
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... PAROXYSMAL POSITIONAL VERTIGO ... with upbeat and torsional ... reproduction of vertigo ... (2 to 11%) #Vertigo
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
what you mean by dizzy ... using the word dizzy ... Vertigo: • Peripheral ... : BPPV, Vestibular ... jmcchiefs #Dizziness #dizzy
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Paroxysmal Positional Vertigo ... nystagmus and vertigo ... forehead) and torsional ... testing #findings #signs ... #bppv #vertigo
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis Vestibular ... Labyrinthitis 1) Vertigo ... 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 ... Testicular torsion ... #whirlpool #sign ... #Testicular #Torsion
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... Vestibular neuritis ... CENTRAL VERTIGO ... varying neurologic signs
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