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management maneuver physicalexam comparison instructions central dix gravis liberatory myasthenia peripheral positional semont signs symptoms algorithm behcet differential disease dixhallpike
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... following a finger) • Test ... #diagnosis #neurology ... #bppv #comparison ... #table
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... vascular causes • Nystagmus ... auditory findings BPPV ... #differential #diagnosis
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
torsional nystagmus ... patient with a clinical ... patient with a clinical ... Labyrinthitis #diagnosis ... #neurology #comparison
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... #diagnosis #findings ... #signs #symptoms ... #comparison #neurology
Dix-HaIlpike Maneuver • Turn head to 45° and then rapidly lay patient to a supine position
20° over end of table ... The test is positive ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Dix-Hallpike Maneuver for BPPV Procedure: 1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... 45° towards the test ... throughout the test ... #Instructions #Diagnosis ... #neurology
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... such as cogan sign ... test were negative ... #video #ophthalmology ... #neurology
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 Semont Liberatory Maneuver for Treatment of BPPV 1) The patient is seated upright on the side of
for Treatment of BPPV ... the examination table ... patient's head and ... #neurology #instructions ... #clinical #video
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 Semont Liberatory Maneuver for Treatment of BPPV 1) The patient is seated upright on the side of
for Treatment of BPPV ... the examination table ... patient's head and ... #neurology #instructions ... #clinical #video
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 Behçet's Syndrome Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy Epidemiology: • Young
association • M > F Clinical ... ulceration • Ocular ... skin injury) • Neurologic ... Behcet syndrome (Clinical ... #management #signs
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