2013 results
Carbon Monoxide Poisoning

Symptoms are non-specific:
 - Headache 90%
 - Nausea/vomiting 50%
 - Vertigo 50%
 - Altered
Monoxide Poisoning Symptoms ... vomiting 50% - Vertigo ... Outdoors improves symptoms ... Treatment: 100%
Clinical Feature of Hypomagnesemia and Magnesium Deficiency
 • Electrolyte Disturbance: Hypokalemia, Hypocalcemia
 • Neuromuscular and central
fasciculations, tremors, Vertigo ... diagnosis #signs #symptoms ... #Treatment #management
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Long symptom-free ... Head trauma - Symptoms ... Positional symptoms ... Self-limited symptoms ... presenting symptom
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... symptoms, this ... CENTRAL cause of vertigo ... Neurology #Central #Vertigo
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
a patient with vertigo ... symptoms, this ... PERIPHERAL cause of vertigo ... Neurology #Peripheral #Vertigo
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
a patient with vertigo ... symptoms, this ... CENTRAL cause of vertigo ... Video #Neurology #Vertigo
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo ... Peripheral Vertigo ... present Central Vertigo ... No auditory symptoms ... Long symptom-free
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
a patient with vertigo ... symptoms, this ... PERIPHERAL cause of vertigo ... Video #Neurology #Vertigo
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... "pass out" • Symptoms ... consciousness Vertigo ... spinning" • Symptoms ... or walking • Symptoms
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
of Dizziness - Vertigo ... Algorithm True Vertigo ... vomiting, auditory symptoms ... Paroxysmal Positional Vertigo ... Imbalance, neurologic symptoms