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diagnosis physicalexam vertigo clinical management maneuver video instructions positional differential peripheral signs testing benign central dix dixhallpike epley paroxysmal symptoms
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Vertigo (BPPV) ... : Positive usually ... consistent with BPPV ... ) #Vertigo #BPPV ... Labyrinthitis #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... auditory findings BPPV ... test (posterior ... or supine roll test ... test Méniére's
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) • Latency (delay
During Hallpike Test ... Benign Paroxysmal Positional ... Vertigo (BPPV) ... in head-hanging position ... findings #signs #bppv
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
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
hydrogen breath test ... intolerance suspected, Colonoscopy ... performed, may show melanosis ... EGD +/- ERCP +/- colonoscopy ... Inflammatory: • Colonoscopy
Positive Romberg Test on Physical Exam The Romberg test is a test of the body's proprioception (sense
Positive Romberg ... Test on Physical ... is a test of the ... Sign #Positive # ... clinical #video #neurology
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 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 ... DixHallpike #Maneuver #BPPV ... Instructions #Diagnosis #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
following a finger) • Test ... Vertigo #diagnosis #neurology ... #bppv #comparison
Epley Maneuver for Treatment of BPPV 1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... into a supine position ... remains in this position ... Epley #Maneuver #BPPV ... #vertigo #neurology
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 Dix-HaIlpike Maneuver • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... The test is positive ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
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