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Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Epley Maneuver for ... Treatment of BPPV ... @jmcchiefs #Epley ... #Maneuver #BPPV ... positional #vertigo #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... ) • Epley maneuver ... maneuver: Ineffective ... Labyrinthitis #diagnosis ... #neurology #comparison
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Epley Maneuver for ... Treatment of BPPV ... #Epley #Maneuver ... #BPPV #Benign # ... positional #vertigo #neurology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
: Differential diagnosis ... aVR • Classic EKG ... in aVR > 0.7: ppv ... electrocardiogram #diagnosis ... #ekg #differential
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
- Differential Diagnosis ... • Peripheral: BPPV ... , Arrhythmias (SVT ... #Differential #Diagnosis ... #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
for BPPV Procedure ... Make the patient sit ... Repeat the entire ... #BPPV #Instructions ... #Diagnosis #neurology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... Arrhythmias: • SVT ... & termination: SVT ... or other vagal maneuvers
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
Wellens Syndrome on EKG ... with history of recent ... - Isoelectric ST ... Wellens #Syndrome #EKG ... electrocardiogram #diagnosis
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
• Intensity: Severe ... than a minute for BPPV ... most but can be severe ... Central #Vertigo #diagnosis ... symptoms #comparison #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Varies • No neurologic ... auditory findings BPPV ... #differential #diagnosis ... #neurology