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

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 24 July 2017

⏱️ 83 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

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.

Special thanks to Dr. Cyrus Askin who found our expert, wrote the questions for this episode, and acted as our cohost.

Full show notes available at http://thecurbsiders.com/podcast

Join our newsletter mailing list. Rate us on iTunes, recommend a guest or topic and give feedback at [email protected].

Case: A 45-year-old man presents to the emergency department because of continuous dizziness, nausea, vomiting and unsteady gait that began 18 hours earlier.

Transcript

Click on a timestamp to play from that location

0:00.0	And the next thing I hear is what all these years you've had the same spells and you never told me I
0:06.9	Leave you so you caused the family to break up. Okay. I thought the family to break up over a vestibular migraine diagnosis
0:13.6	Welcome back to the curbsiders. Hello Matthew. Hello Stewart the internal medicine podcast that uses expert interviews to bring you clinical pearls and practice changing knowledge
0:39.2	I'm Dr. Matthew Frank Wato here with my co-host Dr. Stewart Ken Brigham and Dr. Paul Nelson Williams
0:46.5	Dr. Paul Williams you there
0:48.5	You have to still with you. Hey Paul and also tonight the rookie the rookie Dr. Cyrus Askin
0:56.1	He is a third year senior well he is a senior resident in the internal medicine whose interests include hospital medicine and critical care
1:03.3	He completed undergraduate training at William & Mary in Williamsburg, Virginia and attended medical school through a combined BSMD program with Eastern Virginia Medical School
1:13.7	Outside of clinical work. He is actively engaged in research as well as hospital-wide quality improvement projects and
1:20.2	Cyrus is our first
1:22.2	I guess you could say intern for the show even though he's a senior resident
1:27.6	Cyrus you there?
1:29.0	Kind of a new a new if you will yeah exactly I think if we're going by super troopers
1:35.4	You probably have to grow a mustache now Cyrus. Oh god. Yeah. Okay. Okay. My wife my wife will divorce me
1:42.7	But that's okay. I'll I'll do it for you guys. Okay. Thank you. Yeah. By the time this airs
1:47.5	I expect you to have a sweet mustache going
1:50.6	Well fortunately with my my Arab heritage. I should be able to grow that out of no talk
1:55.6	Okay, good for you
1:57.9	Cyrus, why don't you let the audience know why why you came to me with the idea for this episode?
2:05.2	Yeah, so I'm happy to do that. I guess it's a junior resident as a second year resident
2:09.6	We tend to work a lot of nights and getting called time after time by the ED asking to admit these
2:16.0	vertiginous patients
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from The Curbsiders Internal Medicine Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of The Curbsiders Internal Medicine Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.