26 results
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
continuous and lasting ... upbeat (fast phase beating ... #diagnosis #findings ... signs #symptoms #comparison ... #neurology
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... Continuous episodes, lasting ... Recurrent episodes lasting ... #differential #diagnosis ... #comparison #table
Spectrum of Glomerular Diseases
Nephrotic - Mechanism:
 • Injury to podocytes
 • Changed architecture: Scanning. Deposition of
Spectrum of Glomerular ... formation #Glomerular ... differential #spectrum #diagnosis ... #nephrology #nephritic ... #nephrotic #comparison
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Varies • No neurologic ... findings BPPV • Short-lived ... #differential #diagnosis ... #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... usually lasting ... with significant neurologic ... #differential #diagnosis ... #neurology
Monoclonal Gammopathy Testing
Strengths, Weaknesses and Accuracy Compared
 - SPEP 
 - IFE 
 - FLC
Monoclonal Gammopathy Testing ... Monoclonal #Gammopathy #Testing ... #Protein #Diagnosis ... SPEP #IFE #FLC #Nephrology ... #Laboratory #Comparison
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... mimics, repeat testing ... • Evidence of glomerular ... → Refer to Nephrology ... uw_IMresidency #Hematuria #Diagnosis
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... Central #Peripheral #Vertigo ... #diagnosis #neurology ... #bppv #comparison
Differential Diagnosis of Headache - Table

 - Cluster headache
 - Migraine
 - Paroxysmal hemicrania
 - Short-lasting
Differential Diagnosis ... hemicrania - Short-lasting ... injection and tearing ... Trigeminal neuralgia #Diagnosis ... #Differential #Comparison
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
the patient have glomerular ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis