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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 ... Dizziness #Vertigo #Algorithm
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Vertigo (BPPV) ... patient with a clinical ... in head-hanging position ... patient with a clinical ... Labyrinthitis #diagnosis #neurology
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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 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 ... Instructions #Diagnosis #neurology
Phimosis Inability to retract the foreskin - Can be normal up to 3 years old -
Phimosis Inability ... 3 years old - Clinically ... Paraphimosis • Inability ... back to anatomic position ... Comparison #Diagnosis #Urology
Midcarpal Instability (MCI) of the Wrist Intrinsic Midcarpal Instability Usually affects young, hypermobile patients. It is due to progressive
Midcarpal Instability ... Intrinsic Midcarpal Instability ... returns to its usual position ... #Wrist #msk #orthopedics ... #clinical #video
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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 ... toward the affected ear ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Pronator Drift (Pyramidal Drift) on Physical Exam Testing showed pronator drift on the left side in this
side in this 70-year-old ... to maintain the position ... #PhysicalExam #clinical ... #video #neurology
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 Brandt Daroff Exercise for Treatment of BPPV This maneuver resembles the Semont maneuver. Also, this maneuver is
upright, seated position ... into the lying position ... ) Stay in this position ... to the seated position ... #clinical #video
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 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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