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Published: Sept. 5, 2022, 7 a.m.

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 here.
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\nShow Segments
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• Intro, Getting to know our guest
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• Clinical Case
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• Why can\u2019t patients describe their dizziness?
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• Classifying dizziness
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• The 3 vestibular syndrome buckets defined
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• Episodic vestibular syndrome differential diagnosis
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• Acute vestibular syndrome differential diagnosis
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• Chronic vestibular syndrome differential diagnosis
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• Challenges of medical history taking
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• Approach to the acute vestibular syndrome/HINTS
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• How to evaluate nystagmus
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• How to perform the head impulse test (aka head thrust)
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• How to perform \u201ctest of skew\u201d (alternate cover testing)
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• Recap of HINTS exam and discussion of MRI
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• Signs and symptoms of cerebellar stroke
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• Use of Dix-Hallpike for episodic vertigo
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• What happens when you choose the wrong test
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• Continuous versus triggered dizziness, or vertigo
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• Meclizine use in BPPV
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• How to cure horizontal canal BPPV
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• Treatment for vestibular neuritis
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• Treatment for Meniere\u2019s disease
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• Who benefits from vestibular rehab/exercises
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• Dizziness and giddiness
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• Take home points
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• Outro
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\nCredits
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• Produced and Written by: Cyrus Askin MD
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• Show Notes: Matthew Watto MD
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• Hosts: Cyrus Askin MD, Stuart Brigham MD, Matthew Watto MD, FACP; Paul Williams MD, FACP
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• Editor: Matthew Watto MD, FACP
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• Guest: David Newman-Toker MD, PhD
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