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Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Benign Paroxysmal Positional ... Vertigo (BPPV) ... BENIGN PAROXYSMAL POSITIONAL ... consistent with BPPV ... ) #Vertigo #BPPV
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) • Latency (delay
During Hallpike Test ... Benign Paroxysmal Positional ... Vertigo (BPPV) ... in head-hanging position ... findings #signs #bppv
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
worsen with head position ... auditory findings BPPV ... • Short-lived, positional ... Positive Hallpike test ... or supine roll test
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
than a minute for BPPV ... posterior canal BPPV ... labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position
Dix-Hallpike Maneuver for BPPV Procedure: 1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... 45° towards the test ... throughout the test ... to the upright position ... DixHallpike #Maneuver #BPPV
Epley Maneuver for Treatment of BPPV 1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... into a supine position ... remains in this position ... remains in this position ... Epley #Maneuver #BPPV
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 Sensitivity is the proportion of truly diseased persons in the screened population who are identified as
the screening test ... identified by the test ... the screening test ... it has a narrow focus ... Calculation #Table #PPV
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 Peripheral Vertigo Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo. Benign
Benign Paroxysmal Positional ... Vertigo (BPPV):
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
following a finger) • Test ... diagnosis #neurology #bppv
POCUS Stewardship Right Indication - Right Interpretation -Right Integration Indication → Pre-test Probability → Spectrum of Disease →
POCUS Stewardship ... Indication → Pre-test ... Step 2: Pre-test ... Develop a pre-test ... assign a final post-test
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