The Curbsiders Internal Medicine Podcast5 Sep 2022

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

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.

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | ask@gmail.com | Free CME!

Show Segments

Intro, Getting to know our guest
Clinical Case
Why can’t patients describe their dizziness?
Classifying dizziness
The 3 vestibular syndrome buckets defined
Episodic vestibular syndrome differential diagnosis
Acute vestibular syndrome differential diagnosis
Chronic vestibular syndrome differential diagnosis
Challenges of medical history taking
Approach to the acute vestibular syndrome/HINTS
How to evaluate nystagmus
How to perform the head impulse test (aka head thrust)
How to perform “test of skew” (alternate cover testing)
Recap of HINTS exam and discussion of MRI
Signs and symptoms of cerebellar stroke
Use of Dix-Hallpike for episodic vertigo
What happens when you choose the wrong test
Continuous versus triggered dizziness, or vertigo
Meclizine use in BPPV
How to cure horizontal canal BPPV
Treatment for vestibular neuritis
Treatment for Meniere’s disease
Who benefits from vestibular rehab/exercises
Dizziness and giddiness
Take home points
Outro

Credits

Produced and Written by: Cyrus Askin MD
Show Notes: Matthew Watto MD
Hosts: Cyrus Askin MD, Stuart Brigham MD, Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD, FACP
Guest: David Newman-Toker MD, PhD

Sponsor: Better Help

Visit BetterHelp.com/curb today to get 10% off your first month.

Sponsor: Panacea Financial

Visit panaceafinancial.com today to learn how a bank for doctors, by doctors, can help you.

Sponsor: Indeed

Visit Indeed.com/internalmedicine to start hiring now.

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

Episoder(500)

REBOOT #511 Alzheimer's Disease: Updates in Diagnosis and Treatment

Blood-based Biomarkers, Anti-Amyloid Therapies and BeyondWe have another classic episode for you. From blood-based biomarkers to anti-amyloid treatments, join us as we explore the latest in Alzheimer’...

21 Sep 1h 15min

#539 TikTok Trends in Medicine

Peptides, Mouth Tape, Raw Milk & More: What’s Worth the Hype?Learn the evidence on social media wellness trends and how to discuss with your patients (and friends!) without being dismissive (or fallin...

14 Sep 1h 25min

REBOOT #505 Demystifying Dizziness with Dr. David Hale

We have another classic episode for you. Dizziness can be a daunting presenting symptom. Demystify dizziness with us by breaking it down by timing and triggers, various pertinent physical maneuvers, a...

7 Sep 1h 13min

#538: More Than a Gut Feeling - DGBIs with Dr. Iris Wang

All About Disorders of Gut-Brain InteractionMaster disorders of gut–brain interaction. Learn how Rome V changes the diagnosis of IBS and other DGBIs, how to approach chronic diarrhea and the microbiom...

31 Aug 1h 24min

#537 Hyperkalemia and Hypokalemia

I’m Going Bananas for This One!Learn how to formulate a framework while dealing with potassium disorders in patients with varying levels of kidney disease.We’re joined by Dr Joel Topf, (@kidney_boy) t...

24 Aug 1h 19min

#536 Q&Apalooza: Your Addiction Questions Answered!

This episode explores complex questions around addiction treatment from our audience, including the off-label use of GLPs for SUDs, the nuances of naloxone, and managing high-dose methadone in hospita...

17 Aug 1h 10min

#535 Sleep Apnea Update: How to Choose and Interpret Sleep Tests and Prescribe CPAP Therapy

Diagnosis and Management of Obstructive Sleep ApneaShow description: Explore the interpretation of sleep studies in the diagnosis of obstructive sleep apnea. Master treatment of OSA and how to trouble...

10 Aug 1h 21min

REBOOT #518: Cardiology Meets Longevity

We have another classic episode for you. Level up your primary prevention game. Learn when ApoB, Lp(a), and CAC actually change management, how to spot cardiometabolic risk before diabetes declares it...

3 Aug 1h 25min