34 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... findings BPPV • Short-lived ... Positive Hallpike test ... or supine roll test ... Positive head impulse test
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... (Wallenberg's syndrome ... with significant neurologic ... Syndrome usually ... attacks with varying neurologic
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
include a: • Neurologic ... whispered voice test ... tympanic membrane • Neurologic ... 512 Hz) Weber Test ... II ○ Susac’s syndrome
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
skin injury) • Neurologic ... Positive pathergy test ... is a skin prick test ... Giant retinal tears ... #diagnosis #management
Systemic Lupus Erythematosus - Summary
Antinuclear (ANA) - 95% - Initial screening test
Anti-dsDNA - 50%
 • Associated
Initial screening test ... block • Sjogren syndrome ... polymyositis overlap syndrome ... Hydroxychloroquine *Short ... #rheumatology #management
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
45° towards the test ... ear, by holding ... throughout the test ... Supports the patient ... Instructions #Diagnosis #neurology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... cases/100,000 per year ... • Weakness: Starts ... #diagnosis #management ... #treatment #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
The test is positive ... toward the affected ear ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
thyroid, Sjogren syndrome ... Bedside: ice pack test ... /Edrophonium test ... Gravis #diagnosis #management ... #neurology
What is Epley Maneuver?
In medical terminology, Epley Maneuver is a repositioning procedure that is used to
treat BPPV or vertigo ... in the ear canals ... posterior or interior parts ... #Management #BPPV ... Repositioning #Canalith #Vertigo