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Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo

Maneuver #BPPV #Benign ... paroxysmal #positional #vertigo ... #neurology #instructions ... clinical #video #physicalexam

Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less

Benign paroxysmal ... insufficiency (VBI) - Should ... with significant neurologic ... #differential #diagnosis ... #neurology

Instructions on how to perform the swinging light test to detect a relative afferent pupillary defect.

http://www.cmaj.ca/content/early/2015/01/05/cmaj.140685

Normal

Instructions on ... Begin with dark ... Both pupils should ... Both pupils should ... #Diagnosis #PhysicalExam

Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the

rolls onto his/her shoulder ... Maneuver #BPPV #Benign ... paroxysmal #positional #vertigo ... #neurology #instructions ... clinical #video #physicalexam

Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
• Abduction - C5,C6 (axillary)
• Adduction - C6, C7,

Motor Function Shoulder ... - C6, C7, C8 Elbow ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam

Foster Maneuver (half somersault maneuver) for Treatment of BPPV
Some patient find this maneuver more easier with

Wait for any vertigo ... face your right elbow ... turned to the shoulder ... #neurology #instructions ... clinical #video #physicalexam

Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of

any nystagmus or vertigo ... any nystagmus or vertigo ... BPPV #positional #vertigo ... #neurology #instructions ... clinical #video #physicalexam

Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of

any nystagmus or vertigo ... any nystagmus or vertigo ... BPPV #positional #vertigo ... #neurology #instructions ... clinical #video #physicalexam

Epley Maneuver for Treatment of BPPV (Animated Instructions)
1) The patient begins in an upright sitting posture,

rolls onto his/her shoulder ... Maneuver #BPPV #Benign ... paroxysmal #positional #vertigo ... #neurology #instructions ... clinical #video #physicalexam

Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the

rolls onto his/her shoulder ... Maneuver #BPPV #Benign ... paroxysmal #positional #vertigo ... #neurology #instructions ... clinical #video #physicalexam

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