I love your videos. The only issue is sometimes we only have 10-20 max to find out what is going on when you have 20+ patients waiting to be seen. It gets crazy quick
thanks for mentioning the language differences! in chinese, there's one word to describe dizziness/lightheadedness/vertigo/fainting and it makes it quite hard to have the pt 'describe dizziness without using that word'. and even for a fluent english speaker, it can be difficult to differentiate between all those terms. please do consider making a 2nd part to this as it was helpful, yet many questions remain!
Thank you for your video. I think it is also practical to divide vertigo into the famous categories of peripheral vs central while peripheral ones are sudden, severe, lasting for seconds,have unidirectional fatigable nystagmus and may be associated with nausea, vomiting, hearing loss or tinnitus and there is no neurological symptoms. However, as you mentioned in practice it may not be always straightforward to diagnose clinically.
Hi Liz! Thank you so much for making this helpful video. Can you clarify which presentation (vertiginous, pre-syncope, disequilibrium, lightheadedness) correlates with which "bucket" system? It was a bit hard to tell in the video.
Hey! So sorry for the delay. Yeah I was worried that was confusing-- so pre-syncope correlates with cardiac, lightheadedness is "non-specific," vertiginous tends to be HEENT etiology (either benign or dangerous) and disequilibrium can be something like a stroke or sensorial disequilibrium from something like diabetic neuropathy, etc. Does that make sense? The book Symptom to Diagnosis is also really helpful with this chief complaint!
Great video as always. As a soon to be new grad, thank you! We recently had a new elderly patient present with dizziness. Her dizziness was so nonspecific because she had mixed complaints. Anyway we did bloodwork and the next day her serum sodium level result was 129. We sent her to the hospital. I didn't see the link for the Dix-Hallpike maneuver. Here's a good one from our local ENT th-cam.com/video/wgWOmuB1VFY/w-d-xo.html
I am so grateful I found your videos. Thank you sacrificing your time to help all new NP.
You are so welcome!!
Liz I really appreciate your videos! I just started my first week practicing and I can see it takes a while to build your confidence!
You are so welcome!
I love your videos. The only issue is sometimes we only have 10-20 max to find out what is going on when you have 20+ patients waiting to be seen. It gets crazy quick
I totally understand that! Remember to take care of yourself in the chaos!
@@RealWorldNP absolutely!
I adore you. Thank you for this!
Wow, thank you! 😊
you are a huge positivity bomb and explain really straight forward and make it interesting! thank you!
Thank You for your kind words
thanks for mentioning the language differences! in chinese, there's one word to describe dizziness/lightheadedness/vertigo/fainting and it makes it quite hard to have the pt 'describe dizziness without using that word'. and even for a fluent english speaker, it can be difficult to differentiate between all those terms. please do consider making a 2nd part to this as it was helpful, yet many questions remain!
Thank you!
Your video so interesting and you appear very kind
I'm glad you found it interesting. Thanks for the kind words!
Liz, you are a gift!
Thank you!!
Informative and amusing thank you doc 👍👍
My pleasure!
Thank you for your video. I think it is also practical to divide vertigo into the famous categories of peripheral vs central while peripheral ones are sudden, severe, lasting for seconds,have unidirectional fatigable nystagmus and may be associated with nausea, vomiting, hearing loss or tinnitus and there is no neurological symptoms. However, as you mentioned in practice it may not be always straightforward to diagnose clinically.
Thank you!
examples with videos would be nice
Keeping this in mind for the future. Thanks for watching!
Could dizziness and episodes of vertigo be due to brain tumor? Why do we only worry about stroke when it comes to dizziness?
Definitely could be a brain tumor. This is why imaging is helpful to rule in or rule out a stroke or other brain masses.
Hi Liz! Thank you so much for making this helpful video. Can you clarify which presentation (vertiginous, pre-syncope, disequilibrium, lightheadedness) correlates with which "bucket" system? It was a bit hard to tell in the video.
Hey! So sorry for the delay. Yeah I was worried that was confusing-- so pre-syncope correlates with cardiac, lightheadedness is "non-specific," vertiginous tends to be HEENT etiology (either benign or dangerous) and disequilibrium can be something like a stroke or sensorial disequilibrium from something like diabetic neuropathy, etc. Does that make sense? The book Symptom to Diagnosis is also really helpful with this chief complaint!
Great video as always. As a soon to be new grad, thank you!
We recently had a new elderly patient present with dizziness. Her dizziness was so nonspecific because she had mixed complaints. Anyway we did bloodwork and the next day her serum sodium level result was 129. We sent her to the hospital.
I didn't see the link for the Dix-Hallpike maneuver. Here's a good one from our local ENT th-cam.com/video/wgWOmuB1VFY/w-d-xo.html
Thanks!