38 results
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
Shoulder Exam - ... - Hawkin’s Test ... Labral tear: ... #PhysicalExam #Shoulder ... #Testing #Maneuvers
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... consistent with BPPV ... ) • Epley maneuver ... seen) • Epley maneuver ... Labyrinthitis #diagnosis #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
for BPPV Procedure ... such that the shoulders ... 45° towards the test ... throughout the test ... #Diagnosis #neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Nystagmus in PSC BPPV ... after Dix Hallpike Maneuver ... beating to left ear ... Dix #Hallpike #Maneuver ... ophthalmology #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Epley Maneuver for ... Treatment of BPPV ... rolls onto his/her shoulder ... #Epley #Maneuver ... positional #vertigo #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Dix-HaIlpike Maneuver ... The test is positive ... toward the affected ear ... #neurology #vertigo ... #bppv #management
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
Dix-Hallpike Maneuver ... the Diagnosis of BPPV ... The Dix–Hallpike test ... (Nylen Barany test ... #neurology #PhysicalExam
Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
Dix-Hallpike Maneuver ... the Diagnosis of BPPV ... The Dix–Hallpike test ... (Nylen Barany test ... #neurology #Animated
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... auditory findings BPPV ... Positive Hallpike test ... or supine roll test ... Vertigo #Algorithm #differential
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Hearing Loss - Differential ... The evaluation should ... include a: • Neurologic ... audiometry • Patients should ... tympanic membrane • Neurologic