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vertigo maneuver physicalexam clinical differential instructions msk video radiology anesthesiology dix fracture signs symptoms anesthesia benign checklist dixhallpike elbow epley
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... worsen with head position ... auditory findings BPPV ... • Short-lived, positional ... #differential #diagnosis
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Benign Paroxysmal Positional ... Vertigo (BPPV) ... in head-hanging position ... Labyrinthitis #diagnosis ... #neurology #comparison
Characteristics of Peripheral and Central Vertigo PERIPHERAL VERTIGO • Onset: Sudden • Intensity: Severe initially, often decreasing
labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... Central #Vertigo #diagnosis ... #findings #signs
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 ... remains in this position ... remains in this position ... holds a sitting position
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 Triquetral Fracture The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
"pooping duck sign ... "pooping duck sign ... Carpal #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at
anterior sail sign ... can't make A-OK sign ... Humerus #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
Scapholunate Dissociation The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... to diagnosis scapholunate ... ("Terry Thomas sign ... Carpal #Radiology #XRay ... #Diagnosis #Management
Dix-Hallpike Maneuver for BPPV Procedure: 1. Make the patient sit on examination table, such that the shoulders would
sitting to supine position ... patient in this position ... to the upright position ... to the sitting position ... #neurology
RADIAL HEAD FRACTURE Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... II-IV, pending orthopedic ... Elbow #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #MSK
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 ... #management
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