Dizziness - Differential Diagnosis Framework "Tell me what you mean by dizzy without using the word dizzy." Vertigo: • Peripheral: BPPV, Vestibular Neuritis, Meniere's Disease • Central: Stroke, CNS lesion Presyncope: • Cardiac: Valvular Disease, Arrhythmias (SVT/VT), Bradyarrhythmias, HOCM, PE • Orthostatic: Hypovolemia, Autonomic dysfunction, Meds • Reflex: Vasovagal, Situational, Other Dysequilibrium: • ↓ Sensitive Input: Sens. neuropathy (DM, B12, etc), Visual Impairment, Medications/Toxics (EtOH, AntiCh) • Autonomic Dysfunction: Parkinson's disease, DM, Amyloidosis, Primary autonomic dysfunction sx • ↓ Coordination/Strength: B12 Deficiency/Syphilis, Cerebellar/Posterior Cords, Prior strokes, Cervical radiculopathy Other: • Psychiatric: Psychophysiological, Psychogenic • Other: Sensorineural loss, CO poisoning, Post-traumatic Jacobi Internal Medicine Chiefs @jmcchiefs #Dizziness #dizzy #Differential #Diagnosis #neurology
