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differential syndrome treatment algorithm barre central dizziness gravis guillain hyperthermia myasthenia peripheral anesthesia anesthesiology challenges checklist criticalcare dizzy encephalopathy fever
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... with vascular causes ... findings BPPV • Short-lived ... positional episodes caused ... #differential #diagnosis
Causes of Peripheral and Central Vertigo PERIPHERAL VERTIGO 1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... (BPPV) - Short-lived ... without an obvious cause ... #Causes #differential ... #diagnosis #neurology
Dizziness and Vertigo Algorithm Presyncope: • Feels "faint" or like they are going to "pass out" •
Dizziness and Vertigo ... consciousness Vertigo ... Associated with nausea ... #differential #diagnosis ... #neurology #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Guidelines for Crises ... Phaeochromocytoma Neurologic ... Guidelines for crises ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... with vascular causes ... #diagnosis #findings ... signs #symptoms #comparison ... #neurology
Fever vs Hyperthermia Fever: • Regulated in the hypothalamic thermoregulatory center • "Set point" raised by prostaglandin
Body temperature rises ... rapidly fatal • Causes ... Identify underlying cause ... #Hyperthermia #comparison ... #diagnosis #management
Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
More likely to cause ... myasthenia usually • Starts ... glucocorticoids - can cause ... in myasthenic crisis ... #management #neurology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
muscles: “myasthenic crises ... myasthenia Diagnosis ... Myasthenia Crises ... Myasthenia #Gravis #diagnosis ... #management #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
• Hypertensive crisis ... may precede the neurologic ... the underlying cause ... with AEDs until cause ... #management #neurology
Scleroderma Renal Crisis (SRC) Clinical Presentation of Scleroderma Renal Crisis: 1) Acute kidney injury 2) Abrupt onset of hypertension 3)
of arteries Management ... Initiate ACEi (short-acting ... • Refractory cases ... #rheumatology #nephrology ... #diagnosis #management
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