21 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 ... diagnosis #findings #signs
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
nystagmus and vertigo ... forehead) and torsional ... #dixhallpike #physicalexam ... testing #findings #signs ... #bppv #vertigo
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
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
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
Kussmaul's Sign ... with + Kussmaul sign ... and other rarer causes ... #physicalexam # ... clinical #video #jvp #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign ... Causes = RV failure ... pericarditis (this case ... #PhysicalExam # ... Pericarditis #Cardiology
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
test (Romberg's sign ... Observe when patient closes ... • Unilateral vestibular ... proprioception #physicalexam
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Lancisi’s Sign in ... Lancisi’s sign is ... It is caused by ... Regurgitation #PhysicalExam ... #Jugular #JVP #Cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
Lancisi's sign in ... jugular venous wave caused ... #Lancisis #sign ... Regurgitation #PhysicalExam ... #Cardiology #Neck