16 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... Video by Dr. ... Bidirectional #Nystagmus ... PhysicalExam #Clinical #Video ... #Positive #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... Video by Dr. ... Unidirectional #Nystagmus ... PhysicalExam #Clinical #Video ... #Negative #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... worsen with head position ... • Short-lived, positional
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
unidirectonal nystagmus ... Benign Paroxysmal Positional ... Dysfunction - Imbalance, neurologic ... bidirectional nystagmus ... #Neurology #Differential
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... BENIGN PAROXYSMAL POSITIONAL ... and torsional nystagmus ... in head-hanging position ... Labyrinthitis #diagnosis #neurology
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Benign #paroxysmal #positional ... #vertigo #neurology ... instructions #clinical #video ... #physicalexam #management
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
into a supine position ... remains in this position ... #vertigo #neurology ... instructions #clinical #video ... #physicalexam #management
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Allow any nystagmus ... Again, allow any nystagmus ... #vertigo #neurology ... instructions #clinical #video ... #physicalexam #management