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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Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, MΓ©niΓ©re disease,
Causes (Common) ... Benign paroxysmal positional ... vertigo, MΓ©niΓ©re ... #differential #diagnosis ... #neurology
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... distinguishing between causes ... Benign Paroxysmal Positional ... Vertigo (BPPV): ... #differential #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
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Benign #paroxysmal #positional ... #vertigo #neurology ... instructions #clinical #video ... #physicalexam #management
β–Ί
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
into a supine position ... remains in this position ... #vertigo #neurology ... instructions #clinical #video ... #physicalexam #management
β–Ί
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Clinical Findings: β€’ Nausea ... /vomiting/vertigo ... #Wallenbergs #neurology ... #diagnosis
Carbon Monoxide Poisoning

Symptoms are non-specific:
 - Headache 90%
 - Nausea/vomiting 50%
 - Vertigo 50%
 - Altered
Headache 90% - Nausea ... vomiting 50% - Vertigo ... Subjective weakness 20% Diagnosis ... Poisoning #Toxicology #diagnosis ... #management
Brandt Daroff Exercise for Treatment of BPPV
This maneuver resembles the Semont maneuver. Also, this maneuver is
seconds or until the vertigo ... eases off, whichever ... #vertigo #neurology ... instructions #clinical #video ... #physicalexam #management
β–Ί
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 β€’ Abduction - C5,C6 (axillary)
 β€’ Adduction - C6, C7,
Erb's Palsy is caused ... "waiter's tip" position ... Dislocation - May cause ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
much easier to diagnosis ... Type1 #Distal #Diagnosis ... #Management #Nephrology ... #Causes #Differential