A5021217241- Vestibular and auditory disorders
- Clinical Reasoning and Diagnostic Skills
- Cerebral Venous Sinus Thrombosis
- Ophthalmology and Eye Disorders
- Hearing, Cochlea, Tinnitus, Genetics
- Glaucoma and retinal disorders
- Cardiovascular Syncope and Autonomic Disorders
- Healthcare cost, quality, practices
- Medical Malpractice and Liability Issues
- Patient Safety and Medication Errors
- Acute Ischemic Stroke Management
- Emergency and Acute Care Studies
- Ear Surgery and Otitis Media
- Innovations in Medical Education
- Psychosomatic Disorders and Their Treatments
- Radiology practices and education
- Migraine and Headache Studies
- Gaze Tracking and Assistive Technology
- Sepsis Diagnosis and Treatment
- Health Systems, Economic Evaluations, Quality of Life
- Spinal Fractures and Fixation Techniques
- Traumatic Brain Injury and Neurovascular Disturbances
- Perfectionism, Procrastination, Anxiety Studies
- Phonocardiography and Auscultation Techniques
- Machine Learning in Healthcare
Johns Hopkins University
2016-2025
Johns Hopkins Medicine
2016-2025
Johns Hopkins Hospital
2014-2025
National Patient Safety Foundation
2021-2025
Illinois College
2008-2024
Tinker Air Force Base
2024
Cleveland Clinic
2024
Neurology, Inc
2012-2021
University of California, Berkeley
2020
Interacoustics (Denmark)
2018-2019
This paper presents diagnostic criteria for Menière's disease jointly formulated by the Classification Committee of Bárány Society, The Japan Society Equilibrium Research, European Academy Otology and Neurotology (EAONO), American Otolaryngology-Head Neck Surgery (AAO-HNS) Korean Balance Society. classification includes two categories: definite probable disease. diagnosis is based on clinical requires observation an episodic vertigo syndrome associated with low- to medium-frequency...
Background and Purpose— Acute vestibular syndrome (AVS) is often due to neuritis but can result from vertebrobasilar strokes. Misdiagnosis of posterior fossa infarcts in emergency care settings frequent. Bedside oculomotor findings may reliably identify stroke AVS, prospective studies have been lacking. Methods— The authors conducted a prospective, cross-sectional study at an academic hospital. Consecutive patients with AVS (vertigo, nystagmus, nausea/vomiting, head-motion intolerance,...
This paper presents diagnostic criteria for vestibular migraine, jointly formulated by the Committee Classification of Vestibular Disorders Bárány Society and Migraine Subcommittee International Headache (IHS). The classification includes migraine probable migraine. will appear in an appendix third edition (ICHD) as a first step new entities, accordance with usual IHS procedures. Probable may be included later version ICHD, when further evidence has been accumulated. diagnosis is based on...
Orthostatic dizziness * Other triggered 3. Vestibulo-
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<b>Objective: </b> To test the diagnostic accuracy of horizontal head impulse (h-HIT) vestibulo-ocular reflex (VOR) function in distinguishing acute peripheral vestibulopathy (APV) from stroke. Most patients with vertigo, nausea/vomiting, and unsteady gait have benign APV (vestibular neuritis or labyrinthitis) as a cause. However, some harbor life-threatening brainstem cerebellar strokes that mimic APV. A positive h-HIT (abnormal VOR) is said to predict <b>Methods: Cross-sectional study at...
Abstract Objectives Dizziness and vertigo account for about 4 million emergency department ( ED ) visits annually in the United States, some 160,000 to 240,000 (4% 6%) have cerebrovascular causes. Stroke diagnosis patients with vertigo/dizziness is challenging because majority no obvious focal neurologic signs at initial presentation. The authors sought compare accuracy of two previously published approaches purported be useful bedside screening possible stroke dizziness: a clinical decision...
We sought to characterise the frequency, health outcomes and economic consequences of diagnostic errors in USA through analysis closed, paid malpractice claims.We analysed diagnosis-related claims from National Practitioner Data Bank (1986-2010). describe error type, outcome severity payments (in 2011 US dollars), comparing other allegation groups inpatient outpatient within errors.We 350 706 claims. Diagnostic (n=100 249) were leading type (28.6%) accounted for highest proportion total...
Dizziness and vertigo account for roughly 4% of chief symptoms in the emergency department (ED). Little is known about aggregate costs ED evaluations these patients. The authors sought to estimate annual national associated with visits dizziness. This cost study adult U.S. presenting dizziness or combined public-use visit data (1995 2009) from National Hospital Ambulatory Medical Care Survey (NHAMCS) (2003 2008) Expenditure Panel (MEPS). We calculated total visits, test utilization,...
<h3>Objective:</h3> Describe characteristics of small strokes causing acute vestibular syndrome (AVS). <h3>Methods:</h3> Ambispective cross-sectional study patients with AVS (acute vertigo or dizziness, nystagmus, nausea/vomiting, head-motion intolerance, unsteady gait) at least one stroke risk factor from 1999 to 2011 a single referral center. Patients underwent nonquantitative HINTS “plus” examination (head impulse, test-of-skew plus hearing), neuroimaging confirm diagnoses (97% by MRI),...
Abstract Background: Some cerebrovascular events are not diagnosed promptly, potentially resulting in death or disability from missed treatments. We sought to estimate the frequency of stroke and examine associations with patient, emergency department (ED), hospital characteristics. Methods: Cross-sectional analysis using linked inpatient discharge ED visit records 2009 Healthcare Cost Utilization Project State Inpatient Databases 2008–2009 across nine US states. identified adult patients...
This paper describes the diagnostic criteria for Acute Unilateral Vestibulopathy (AUVP), a synonym vestibular neuritis, as defined by Committee Classification of Vestibular Disorders Bárány Society. AUVP manifests an acute syndrome due to unilateral loss peripheral function without evidence central or audiological symptoms signs. implies that diagnosis is based on patient history, bedside examination, and, if necessary, laboratory evaluation. The leading symptom rarely subacute onset...
This paper presents diagnostic criteria for vestibular migraine, jointly formulated by the Committee Classification of Vestibular Disorders Bárány Society and Migraine Subcommittee International Headache (IHS). It contains a literature update while original from 2012 were left unchanged. The classification defines migraine probable migraine. was included in appendix third edition (ICHD-3, 2013 2018) as first step new entities, accordance with usual IHS procedures. Probable may be later...
Background Diagnostic errors cause substantial preventable harms worldwide, but rigorous estimates for total burden are lacking. We previously estimated diagnostic error and serious harm rates key dangerous diseases in major disease categories validated plausible ranges using clinical experts. Objective sought to estimate the annual US of misdiagnosis-related (permanent morbidity, mortality) by combining prior results with incidence. Methods Cross-sectional analysis US-based nationally...
Abstract This third Guideline for Reasonable and Appropriate Care in the Emergency Department (GRACE‐3) from Society Academic Medicine is on topic adult patients with acute dizziness vertigo emergency department (ED). A multidisciplinary guideline panel applied Grading of Recommendations Assessment, Development, Evaluation (GRADE) approach to assess certainty evidence strength recommendations regarding five questions ED less than 2 weeks' duration. The intended population adults presenting...