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Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... position change • Neurologic ... in semicircular canal ... test (posterior canal ... differential #diagnosis #neurology
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
spacing between all carpal ... bones should be ... bones should be ... follow-up with orthopedics ... Diagnosis #Management #Orthopedics
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... classic posterior canal ... in horizontal canal ... symptoms #comparison #neurology
Perilunate Dislocation On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
capitate ("apple") should ... tea cup") which should ... associated injuries: Carpal ... Disposition: Pending orthopedic ... Dislocation #Wrist #Carpal
Causes of Peripheral and Central Vertigo PERIPHERAL VERTIGO 1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
PERIPHERAL VERTIGO ... insufficiency (VBI) - Should ... with significant neurologic ... attacks with varying neurologic ... differential #diagnosis #neurology
Mytomes - Segmental Innervation of Muscles Shoulder Abduction C5 Axillary Nerve Shoulder Adduction C6-C8 Thoracodorsal Nerve Elbow Flexion C5 Musculocutaneous Nerve Elbow Extension C7 Radial Nerve Wrist Extension C6 Radial Nerve Fingers Flexion C8 Median Nerve Fingers Abduction T1 Ulnar Nerve Hip Flexion L2 Nerve to Psoas Hip Extension S1 Inferior Gluteal
Innervation of Muscles Shoulder ... Axillary Nerve Shoulder ... MuscleGroups #MSK #Orthopedics ... #Neurology #Diagnosis
Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Motor Function Shoulder ... Carpal Tunnel Syndrome ... Anterior Shoulder ... Myotomes #diagnosis #neurology
Median Nerve Anatomy and Function The Median nerve is the nerve of pre-axial hand function; pinch, delicate
it is not all carpal ... • Carpal tunnel ... sensory exam to carpal ... Anatomy #diagnosis #neurology ... #orthopedics
Orthopedic Essentials - Spinal Trauma and Spine Classification DENIS THREE COLUMN CONCEPT Anterior column:
Orthopedic Essentials ... spinal deformity or neurologic ... • Vertebral canal ... Cauda equina Treatment ... Classification #Orthopedics
Epley Maneuver for Treatment of BPPV 1) The patient begins in an upright sitting posture, and the
Epley Maneuver for Treatment ... rolls onto his/her shoulder ... paroxysmal #positional #vertigo ... #neurology #instructions
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