24 results
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Treatment of BPPV ... #Benign #paroxysmal ... #positional #vertigo ... #neurology #instructions ... #clinical #video
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Differentiating Benign ... Neuritis-Labyrinthitis BENIGN ... patient with a clinical ... Labyrinthitis #diagnosis ... #neurology #comparison
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
(BPPV); worsens ... with vascular causes ... direction-changing on lateral ... #diagnosis #findings ... symptoms #comparison #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Causes (Common) ... - Labyrinth: Benign ... (TIA): • Lateral ... #differential #diagnosis ... #neurology
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis 1) Vertigo ... instability 3) Nausea ... hearing loss Clinical ... • Benign, self-limited ... Labyrinthitis #Diagnosis
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... Benign paroxysmal ... (BPPV) - Short-lived ... without an obvious cause ... #diagnosis #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Treatment of BPPV ... #BPPV #Benign # ... paroxysmal #positional #vertigo ... #neurology #instructions ... #clinical #video
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Artery occlusion) Clinical ... Findings: • Nausea ... /vomiting/vertigo ... #diagnosis
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
- Differential Diagnosis ... based on repeat clinic ... Liddle's syndrome • Bilateral ... steroids) • Renin-Angiotensin ... HTN #Secondary #Nephrology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Unknown nature & benign ... females Differential Diagnosis ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology