David Newman-Toker

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.

Joining the discussion are Dr. David Newman-Toker, an esteemed international expert in neurology, ophthalmology, and otolaryngology, and Dr. Cyrus Askin, a recognized contributor to the medical field. They unravel the complexities of diagnosing dizziness and vertigo, exploring critical tests like the Dix-Hallpike and HINTS exam. The conversation highlights how to distinguish strokes from other causes of dizziness and the roles of medical therapy and vestibular rehab. Listeners will gain practical insights for improving patient assessments and treatment strategies.