REBOOT #49 Vertigo and Dizziness: How to Treat, Who to Send Home, and Who Might Have a Stroke

<div>A simplified approach to dizziness/vertigo with tips from international expert, Dr. David Newman-Toker, Professor of Neurology, Ophthalmology, and Otolaryngology at Johns Hopkins University. We learn how to differentiate stroke from other causes of dizziness/vertigo; how to approach the differential diagnosis in dizziness/vertigo; how to perform the Dix-Hallpike test, Epley maneuver, and HINTS exam; plus, who benefits from medical therapy and vestibular rehab. Original show notes <a href="https://thecurbsiders.com/podcast/49-vertigo-dizziness-treat-send-home-might-stroke">here</a>.<br> <br> <a href="https://thecurbsiders.com/episode-list">Episodes</a> | <a href="https://audioboom.com/channels/5034728.rss">Subscribe</a> | <a href="https://open.spotify.com/show/3SKlzOLxyztvA1BkJfnf67">Spotify</a> | <a href="https://www.teepublic.com/user/kashlakmemorial">Swag!</a> | <a href="https://thecurbsiders.com/top-picks">Top Picks</a> | <a href="https://thecurbsiders.com/knowledgefood">Mailing List</a> | <a href="mailto:ask@gmail.com">ask@gmail.com</a> | <a href="http://curbsiders.vcuhealth.org">Free CME!</a><br> <br> Show Segments<br> <br> </div> <ul> <li>Intro, Getting to know our guest</li> <li>Clinical Case</li> <li>Why can’t patients describe their dizziness?</li> <li>Classifying dizziness</li> <li>The 3 vestibular syndrome buckets defined</li> <li>Episodic vestibular syndrome differential diagnosis</li> <li>Acute vestibular syndrome differential diagnosis</li> <li>Chronic vestibular syndrome differential diagnosis</li> <li>Challenges of medical history taking</li> <li>Approach to the acute vestibular syndrome/HINTS</li> <li>How to evaluate nystagmus</li> <li>How to perform the head impulse test (aka head thrust)</li> <li>How to perform “test of skew” (alternate cover testing)</li> <li>Recap of HINTS exam and discussion of MRI</li> <li>Signs and symptoms of cerebellar stroke</li> <li>Use of Dix-Hallpike for episodic vertigo</li> <li>What happens when you choose the wrong test</li> <li>Continuous versus triggered d