23 results
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
for Treatment of BPPV ... Benign #paroxysmal #positional ... #vertigo #neurology ... instructions #clinical #video ... #physicalexam #management
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... Vertigo (BPPV) ... consistent with BPPV ... Labyrinthitis #diagnosis ... #neurology #comparison
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... worsen with head position ... auditory findings BPPV ... • Short-lived, positional ... #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... Epley #Maneuver #BPPV ... #vertigo #neurology ... instructions #clinical #video ... #physicalexam #management
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... Central #Vertigo #diagnosis ... symptoms #comparison #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
vertigo (BPPV) ... with significant neurologic ... attacks with varying neurologic ... #differential #diagnosis ... #neurology
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 • Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
- Differential Diagnosis ... Algorithm and Management ... Amyloid Angiopathy, Trauma ... Subarachnoid: Trauma ... #neurology #treatment
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential Diagnosis ... Benign Paroxysmal Positional ... • Ethanol - Trauma ... Dizziness #Vertigo #Neurology ... #Differential #Diagnosis
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Pelvic/penile trauma ... #Priapism #Diagnosis ... #Management #Urology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... to the upright position ... DixHallpike #Maneuver #BPPV ... #Instructions #Diagnosis ... #neurology