33 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
worsen with head position ... No auditory symptoms ... test Méniére's disease ... Long symptom-free ... differential #diagnosis #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Méniére's disease ... Positional symptoms ... course of the disease ... Disease onset usually ... differential #diagnosis #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
vomiting, auditory symptoms ... Benign Paroxysmal Positional ... • Meniere's Disease ... symptoms/signs, ... #Neurology #Differential
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... "pass out" • Symptoms ... may be triggered ... differential #diagnosis #neurology ... #management
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... Vertigo (BPPV) ... BENIGN PAROXYSMAL POSITIONAL ... in head-hanging position ... Labyrinthitis #diagnosis #neurology
Vertigo Differential Diagnosis and Management Algorithm
Vertigo: Symptom of illusory movement because of asymmetry in the vestibular
Vertigo Differential ... Diagnosis and Management ... : Symptom of illusory ... #Diagnosis #Management ... #Algorithm #neurology
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
or Episodic • Triggers ... yet imprecise symptom ... • Vestibular (vertigo ... differential #diagnosis #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Central Causes of Vertigo ... Benign paroxysmal positional ... vertigo, Méniére ... disease, Perilymphatic ... differential #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
tinnitus (Méniére's disease ... nose) • Head Position ... worsen with head position ... findings #signs #symptoms ... #comparison #neurology
SNOOP Mnemonic for Headache Red Flags 🚩

S	Systemic symptoms or disease - Fever, weight loss, HIV/cancer
N	Neurologic symptoms
S Systemic symptoms ... or disease - Fever ... symptoms - Altered ... Pulsatile tinnitus, Positional ... Headache #Diagnosis #Neurology