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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 ... signs or symptoms ... Vertigo #Causes #differential
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
may be present Central ... No auditory symptoms ... test Méniére's disease ... Long symptom-free ... Vertigo #Algorithm #differential
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
chronic kidney disease ... chronic kidney disease ... chronic kidney disease ... chronic kidney disease ... Polycystic ovary disease
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... tinnitus (Méniére's disease ... diagnosis #findings #signs ... #symptoms #comparison ... #neurology
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Systemic Lupus (SLE) General ... Demyelinating syndromes ... pain (20%) Renal disease ... erythematosus #signs ... #symptoms #diagnosis
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
metastasis (hungry bone syndrome ... intake: Alcoholism (cirrhosis ... Tubulointerstitial renal disease ... Hypomagnesemia #Causes #differential ... #diagnosis #nephrology
Emergent Causes of Headache and Associated Risk Factors
Carbon monoxide poisoning
 - Breathing in enclosed or confined
collagen vascular diseases ... vasoconstriction syndrome ... polycystic kidney disease ... headache #redflags #signs ... #symptoms #differential
Clinical Manifestations and Diagnosis of Lyme Disease - Borreliosis
Erythema migrans
 - 3-32 days (median: 7-10 days)
Diagnosis of Lyme Disease ... patch, often with central ... missing in early disease ... Borreliosis #Diagnosis #Signs ... #Symptoms #Timeline