19 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 ... Positive Hallpike ... differential #diagnosis #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... Hallpike test: Positive ... consistent with BPPV ... ) #Vertigo #BPPV ... Labyrinthitis #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... into a supine position ... remains in this position ... Epley #Maneuver #BPPV ... positional #vertigo #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... patient in this position ... to the upright position ... DixHallpike #Maneuver #BPPV ... Instructions #Diagnosis #neurology
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
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
mobilization or supine position ... Pathophysiology: ... PhysicalExam #clinical #neurology
Trendelenburg Gait: Pathogenesis and clinical findings

Skeletal Pathology of the Hip
 • Arthritis
 • Congenital hip dysplasia
Chondrodysplasia Neurologic ... Pain • Valgus position ... Trendelenburg #Gait #pathophysiology
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
Person Syndrome Pathophysiology ... emotions - A positive ... Testing anti-GAD (positive ... Management #treatment #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Mutism Pathophysiology ... previous gaze position ... previous gaze position ... #PhysicalExam #neurology