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Dizziness: Differential Diagnosis

Dizziness: Differential Diagnosis

Dizziness: Differential Diagnosis

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VERTIGO<br />

Central Peripheral<br />

• Nystagmus<br />

• Bidirectional<br />

• not fatigued<br />

• not inhibited by fixation<br />

• Nystagmus<br />

• Unidirectional<br />

• Fatigued<br />

• Inhibited by fixation<br />

• Symptoms:<br />

• Not as intense<br />

• Slow onset<br />

• Not positionally dependent<br />

• Cerebellar/brain stem Signs<br />

• Symptoms<br />

• More intense<br />

• Sudden onset<br />

• Positionally dependent<br />

• Hearing loss possible

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