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Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Epley Maneuver for ... Treatment of BPPV ... #Maneuver #BPPV ... positional #vertigo #neurology ... #physicalexam #management
What is Epley Maneuver?
In medical terminology, Epley Maneuver is a repositioning procedure that is used to
What is Epley Maneuver ... used to treat BPPV ... posterior or interior parts ... #Management #BPPV ... #Epley #Maneuver
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 ... saccade seen) • Epley ... Labyrinthitis #diagnosis #neurology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
associated injuries: Carpal ... injury • ED Management ... #Carpal #Radiology ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... fractures • ED Management ... Triquetrum #Fracture #Wrist ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
box, pain with wrist ... dislocation • ED Management ... #TerryThomas #Wrist ... XRay #Diagnosis #Management ... #Orthopedics #Sports
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... position change • Neurologic ... auditory findings BPPV ... • Short-lived ... differential #diagnosis #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Epley Maneuver for ... Treatment of BPPV ... #Epley #Maneuver ... positional #vertigo #neurology ... #physicalexam #management
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... classic posterior canal ... BPPV; horizontal ... in horizontal canal ... symptoms #comparison #neurology
Left Wrist Drop - Radial Nerve Palsy on Physical Examination

Left hand drop due to compression of
Left Wrist Drop ... trauma_modern #Wrist ... orthopedics #msk #sports ... #neurology