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diagnosis peripheral algorithm differential dizziness findings hints labyrinthitis neuritis physicalexam signs symptoms table vestibular
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... examiners nose • Nystagmus ... following a finger) • Test ... #diagnosis #neurology ... #bppv #comparison
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... may be present Central ... vascular causes • Nystagmus ... auditory findings BPPV
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... signs #symptoms #comparison ... #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
(BPPV) From Vestibular ... and torsional nystagmus ... consistent with BPPV ... Labyrinthitis #diagnosis #neurology ... #comparison
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