CEREBROSPINALECTOMY
Vet: "It's idiopathic vestibular disease. He'll be steady again in two weeks."
Me: "Which way does the fast phase beat?"
Vet: "...The what."
Me: "The nystagmus. I need to know if it's peripheral."
Vet: "Sir. It is a dog."
My dog has a head tilt and I have a differential. Neither of us is enjoying this.
Send this to the colleague who cannot turn it off around their own pets.
EXPLAINED (ACCURACY-CHECKED)
Idiopathic (old-dog) vestibular disease is a common, self-limited canine condition causing acute head tilt, nystagmus and ataxia. In human vestibular assessment, the direction and behavior of nystagmus is one of the features used to separate peripheral from central causes.
Established veterinary and human neurology: canine idiopathic vestibular syndrome is well described and self-limited; nystagmus characteristics contribute to peripheral vs central localization. No advice framing, no patient content.
LIVE ONINSTAGRAM ↗
PERMANENT LINK
https://cerebrospinalectomy.com/jokes/vet-its-idiopathic-vestibular-disease-hell-be-steady-again-in-two/
https://cerebrospinalectomy.com/jokes/vet-its-idiopathic-vestibular-disease-hell-be-steady-again-in-two/
Reprint anywhere, non-commercially, with attribution to cerebrospinalectomy.com. We punch at specialties, the system, and ourselves — never at patients.