40 results
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Epley Maneuver for Treatment ... of BPPV By Dr ... Epley #Maneuver #BPPV ... Benign #paroxysmal #positional ... #vertigo #neurology
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 ... Labyrinthitis #diagnosis #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Epley Maneuver for Treatment ... of BPPV 1) The ... into a supine position ... Epley #Maneuver #BPPV ... #vertigo #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... worsen with head position ... auditory findings BPPV ... • Short-lived, positional ... differential #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
straight ahead, cover ... Vertigo #diagnosis #neurology ... #bppv #comparison
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Benign paroxysmal positional ... vertigo (BPPV) ... with significant neurologic ... attacks with varying neurologic ... differential #diagnosis #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... patient in this position ... to the upright position ... DixHallpike #Maneuver #BPPV ... Instructions #Diagnosis #neurology
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
mobilization or supine position ... Pathophysiology: ... Treatment: anticholinergics ... PhysicalExam #clinical #neurology
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
20 mg/min -> Neurology ... Miguel Cortel-LeBlanc ... management #algorithm #treatment ... #prophylaxis #neurology