87 results
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Vertigo (BPPV) ... vertigo once in head-hanging ... symptoms in head-hanging ... escalates in head-hanging ... findings #signs #bppv
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... Vertigo (BPPV) ... consistent with BPPV ... worsened in head-hanging ... position (Note:
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... posterior canal BPPV ... labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position
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 ... remains in this position ... Epley #Maneuver #BPPV
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... with the head hanging ... patient in this position ... to the upright position ... DixHallpike #Maneuver #BPPV
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
worsen with head position ... auditory findings BPPV ... • Short-lived, positional
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Benign Paroxysmal Positional ... Vertigo (BPPV):
Reduction of Anterior Shoulder Dislocation

This young man presented to the ER with a Shoulder Dislocation. He
arrived that he was pacing ... #physicalexam #msk
Dizziness - Central and Peripheral Causes - Differential Diagnosis
Central Causes:
 • Cerebrovascular:  vertebrobasilar, TIA, Wallenburg,
Acoustic Neuroma • BPPV ... Amy Chung, MD, MSc
Talus Fracture on POCUS
Athlete with hard landing on one foot, pain and tenderness over dorsum of
Athlete with hard landing ... clinical #ultrasound #MSK