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diagnosis neurology vertigo maneuver physicalexam differential management comparison dix dixhallpike algorithm central clinical dizziness hallpike instructions video causes dizzy hints
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) • Latency (delay
Classic Findings ... Vertigo (BPPV) ... in head-hanging position ... physicalexam #testing #findings ... #signs #bppv #vertigo
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... Central Vertigo PERIPHERAL ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... nose) • Head Position
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo Peripheral ... minutes to days • Nystagmus ... worsen with head position ... BPPV • Short-lived ... , positional episodes
HINTS Exam - Unidirectional Nystagmus - Left-beating In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... symptoms, this finding ... reassuring for a PERIPHERAL ... Unidirectional #Nystagmus ... Negative #Neurology #Peripheral
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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 ... and torsional nystagmus ... consistent with BPPV
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
Distinguishing Central from Peripheral ... examiners nose • Nystagmus ... physicalexam #Central #Peripheral ... diagnosis #neurology #bppv
Peripheral Vertigo Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo. Benign
Peripheral Vertigo ... between causes of peripheral ... Benign Paroxysmal Positional ... Vertigo (BPPV): ... Chiefs @jmcchiefs #Peripheral
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 ... Nystagmus 2. ... DixHallpike #Maneuver #BPPV
Dix-Hallpike Maneuver for the Diagnosis of BPPV The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
the Diagnosis of BPPV ... identify posterior BPPV ... patient in supine position ... But a downbeat nystagmus ... Maneuver #Diagnosis #BPPV
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 Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated) The Dix–Hallpike test (Nylen Barany test) is a diagnostic
the Diagnosis of BPPV ... identify posterior BPPV ... patient in supine position ... But a downbeat nystagmus ... Maneuver #Diagnosis #BPPV
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