missed stroke

The diagnosis of stroke remains a challenge, due to overlapping symptoms with other conditions, limitations in diagnostic tests, and lack of awareness of posterior circulation presentation and workup. Below is a brief overview of the rate and risk factors for missed stroke, common stroke mimics and chamelons, and the challenge of diagnosing stroke in patients…

approach to dizzy

Traditionally we were taught to separate dizziness into pre-syncope, vertigo and dysequilibrium as the first step towards a differential diagnosis. But studies have shown patients symptoms can’t be neatly separated into these three distinct categories. Instead we need a systematic approach to dizziness, emphasizing risk factors, associated symptoms and exacerbating factors–with ENT diagnoses at the…