25 results
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Causes of Dizziness ... - Vertigo - Differential ... Temporal Bone Fracture ... symptoms/signs, ... #Neurology #Differential
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
with vascular causes ... positional episodes caused ... No auditory symptoms ... Long symptom-free ... #Algorithm #differential
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... without an obvious cause ... with significant neurologic ... #Causes #differential ... #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 ... #Algorithm #neurology ... #Differential
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... Associated with nausea ... Algorithm #dizzy #differential ... #diagnosis #neurology ... #management
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... Time course and symptoms ... distinguishing between causes ... #differential # ... diagnosis #comparison
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... with vascular causes ... findings #signs #symptoms ... #comparison #neurology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... • Neurologic ... symptoms suggest ... a mass as the cause ... Orbital Floor Fracture
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs/symptoms ... Blood cultures/serology ... Blood cultures/serology ... in up to 30% of cases ... #Endocarditis #comparison
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
deficit • Onset of symptoms ... other less common features ... present, in which case ... #Stroke #cva #management ... #neurology