134 results
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 ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional 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
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
following a finger) • Test ... Vertigo #diagnosis #neurology ... #bppv #comparison ... #table
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
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
Antibiotic Susceptibility Table for Routine Gram Positive Infections

*** AUTHOR UPDATE NOTE 3/2019: TMP/SMX should, at best,
Susceptibility Table ... for Routine Gram Positive ... SMX should, at best ... Susceptibility #Table ... Infections #Coverage #Management
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... Positional Vertigo (BPPV ... in head-hanging position ... 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
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Additional laboratory tests ... chronic kidney tests ... Test for celiac ... is positive Bidirectional ... change medical management