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physicalexam maneuver clinical instructions dix benign dixhallpike epley hallpike paroxysmal animated comparison differential liberatory semont algorithm braindead braindeath brandt central
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Vertigo (BPPV) ... on one side only ... in head-hanging position ... Labyrinthitis #diagnosis ... #neurology #comparison
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
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
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 ... #vertigo #neurology
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 Kernig's Sign in Meningitis Kernig's sign is present if the patient, in the supine position with the
Kernig's Sign in ... Meningitis Kernig's sign ... in the supine position ... Prakash #Kernigs #Sign ... #neurology
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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 ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management
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 ... #positional #vertigo
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 Romberg's Test for Proprioception History: First described in the 19th century in patients with tabes dorsalis (later
syphilis) Meaning: Positive ... sign) → Proprioceptive ... open and closed Positive ... fall toward the side ... #neurology #diagnosis
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
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 ... #vertigo #neurology
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