41 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 ... No auditory symptoms ... Long symptom-free
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... patient with a clinical ... consistent with BPPV ... patient with a clinical ... Labyrinthitis #diagnosis #neurology
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
(BPPV) • Latency ... symptoms in head-hanging ... position • Upbeat ... testing #findings #signs ... #bppv #vertigo
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
nose) • Head Position ... worsen with head position ... diagnosis #findings #signs ... #symptoms #comparison ... #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
symptoms, this ... #PhysicalExam #Clinical ... #Video #Positive ... #Neurology #Central ... #Vertigo
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... with significant neurologic ... attacks with varying neurologic ... signs or symptoms ... differential #diagnosis #neurology
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis 1) Vertigo ... hearing loss Clinical ... fixation) • Positive ... Labyrinthitis #Diagnosis #Symptoms ... #Signs #Otolaryngology
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
for Treatment of BPPV ... paroxysmal #positional #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 ... 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 ... paroxysmal #positional #vertigo ... #neurology #instructions ... #clinical #video ... #physicalexam #management