41 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... findings BPPV • Short-lived ... test (posterior ... #differential #diagnosis ... #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
: Positive usually ... in head-hanging position ... : Positive (corrective ... Labyrinthitis #diagnosis ... #neurology #comparison
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... following a finger) • Test ... Central #Peripheral #Vertigo ... #diagnosis #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Neuropathy Shoulder ... finger extension → shoulder ... is positive with ... #physicalexam #sports ... #orthopedics #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... insufficiency (VBI) - Should ... with significant neurologic ... #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 ... symptoms #comparison #neurology
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
Romberg's Test for ... syphilis) Meaning: Positive ... test (Romberg's ... open and closed Positive ... #neurology #diagnosis
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... HIT) result is positive ... a stand-alone test ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
such that the shoulders ... 45° towards the test ... Supports the patient ... Maneuver #BPPV #Instructions ... #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 ... rolls onto his/her shoulder ... paroxysmal #positional #vertigo ... #neurology #instructions