18 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... change • Neurologic ... auditory findings BPPV ... #Algorithm #differential ... #diagnosis #neurology
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 ... diagnosis #findings #signs ... symptoms #comparison #neurology
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
Dizziness - Differential ... Vertigo: • Peripheral ... : BPPV, Vestibular ... dysfunction, Meds • Reflex ... #Diagnosis #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... with significant neurologic ... signs or symptoms ... #Causes #differential ... #diagnosis #neurology
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
Positive Hoffmann's ... sign (finger flexor ... reflex) Flexion ... physicalexam #msk #orthopedics ... #neurology #sports
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
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... Epley #Maneuver #BPPV ... paroxysmal #positional #vertigo ... #neurology #instructions ... #physicalexam #management
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... previous gaze position ... previous gaze position ... • Examine for signs ... #PhysicalExam #neurology
Brandt Daroff Exercise for Treatment of BPPV
This maneuver resembles the Semont maneuver. Also, this maneuver is
for Treatment of BPPV ... Exercise #Maneuver #BPPV ... #positional #vertigo ... #neurology #instructions ... #physicalexam #management
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
for Treatment of BPPV ... shoulder down position ... to the seated position ... #neurology #instructions ... #physicalexam #management