Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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HINTS Exam - Distinguishing Central from Peripheral Vertigo
 β€’ Head Impulse: Head thrust 10Β° with eyes
Distinguishing Central ... TylerLarsenMD #HINTS #physicalexam ... #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, MΓ©niΓ©re disease,
Peripheral and Central ... Causes of Vertigo ... Peripheral Causes ... vertigo"), Ramsay ... #diagnosis #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... /vomiting/vertigo ... Palatal myoclonus - Central ... #Wallenbergs #neurology ... #diagnosis
Dizziness and Vertigo Algorithm
Presyncope:
 β€’ Feels "faint" or like they are going to "pass out"
 β€’
Dizziness and Vertigo ... consciousness Vertigo ... Associated with nausea ... #differential #diagnosis ... #neurology #management
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... patients with a central ... cause of AVS. ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... steps. ❽ Insert central ... anaesthesia #Sepsis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... β€’ Diagnostic ... Plan definitive management ... Cardiac #Tamponade #Anesthesiology ... #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
maintained fever CAUSES ... Phaeochromocytoma Neurologic ... #Anesthesiology ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
in Anaesthesia Causes ... possible β€’ If central ... Embolism #VTE #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
β€’ Can occur with deliberate or accidental
High Central Neuraxial ... Consider other causes ... Neuraxial #Block #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup