32 results
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... patient in this position ... to the upright position ... #Dix #Hallpike ... Instructions #Diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... worsen with head position ... • Short-lived, positional ... test Méniére's disease ... Vertigo #Algorithm #differential
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Dizziness - Vertigo - Differential ... Benign Paroxysmal Positional ... • Meniere's Disease ... Dizziness #Vertigo #Neurology ... #Differential #
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Physical Exam 60 year ... Ddx? ... Ddx is very broad ... BIDMC Infectious Diseases ... Rash #clinical #photo
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Potomania - Tea ... Nausea, Pulmonary Diseases ... , CNS Disease, Meds ... Algorithm #diagnosis #nephrology
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
brain, eye, and ear ... and less common diseases ... polychondritis • Behcet disease ... BEE #Syndromes #neurology ... #inflammatory #differential
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Méniére's disease ... course of the disease ... Disease onset usually ... Vertigo #Causes #differential ... #diagnosis #neurology
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Proteinuria - Differential ... Negative urine dip ... Minimal change disease ... #Proteinuria #Nephrology ... #Differential #
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Benign paroxysmal positional ... vertigo, Méniére disease ... Central #Causes #differential ... #diagnosis #neurology
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
) - Differential ... Gastrointestinal disease ... the tragus to differentiate ... disease processes ... Otolaryngology #differential