19 results
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
(BPPV) • Latency ... (delay in nystagmus ... and torsional nystagmus ... #dixhallpike #physicalexam ... findings #signs #bppv
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... worrisome for a CENTRAL ... Bidirectional #Nystagmus ... #HINTS #PhysicalExam ... Positive #Neurology #Central
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... from Peripheral Vertigo ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #neurology #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... labyrinthitis) CENTRAL ... circulation TIA • Nystagmus ... #Peripheral #Central
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... vs Peripheral Vertigo ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... and torsional nystagmus ... consistent with BPPV ... ) • Epley maneuver ... #BPPV #Vestibular
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... minutes to days • Nystagmus ... may be present Central ... vascular causes • Nystagmus ... auditory findings BPPV
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Epley Maneuver for ... Treatment of BPPV ... #Maneuver #BPPV ... paroxysmal #positional #vertigo ... clinical #video #physicalexam
Epley Maneuver for BPPV

Epley manuver
 - Epley begins after the last step of the Dix Hallpike
BPPV Epley manuver ... with exacerbated nystagmus ... the 20 degree neck ... Keep the head and neck ... Repositioning #Canalith #Vertigo
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Treatment of BPPV ... in a 30-degree neck ... #BPPV #Benign # ... paroxysmal #positional #vertigo ... clinical #video #physicalexam