28 results
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... posterior canal BPPV ... horizontal canal BPPV ... Induces vertigo (BPPV ... signs #symptoms #comparison
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
diagnosis #neurology #bppv ... #comparison #table
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... consistent with BPPV ... ) #Vertigo #BPPV ... diagnosis #neurology #comparison
Modified Valsalva Maneuver Insturctions

- 43% vs 17% response compared to the standard valsalva maneuver

Per ACLS and
Valsalva Maneuver Insturctions ... lay the patient flat ... Maneuver #REVERT #Instructions
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Positional Vertigo (BPPV ... differential #diagnosis #comparison
Serrated Polyps
Hyperplastic polyps (HPs):
 • Prevalence: 20-30%
 • Size: Usually small or diminutive (s 5mm)
 •
• Morphology: Flat ... • Morphology: Flat ... Serrated #Polyps #comparison
How to Float a PA (Swan-Ganz) Catheter
1) Place an introducer catheter, usually 15 to 20cm, into
How to Float a PA ... SwanGanz #Catheter #Float ... Pulmonary #Artery #instructions
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
for Treatment of BPPV ... Epley #Maneuver #BPPV ... vertigo #neurology #instructions
ED Thoracotomy Instructions

Getting Into the Chest:
1. Bilateral finger thoracotomies
  • 4th or 5th intercostal space
ED Thoracotomy Instructions ... Massage • 2 flat ... #Thoracotomy #Instructions
Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings
Ileus: Functional bowel "blockage", no peristalsis
Mechanical Obstruction:
lumen Complete obstructions ... Incomplete obstructions ... abdominal pain • Flat