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diagnosis management neurology clinical differential vertigo physicalexam comparison maneuver video instructions positional surgery causes instruments testing cardiology dix dixhallpike epley
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) • Latency (delay
Positional Vertigo (BPPV ... position) of approximately ... position • Upbeat ... position, then ... findings #signs #bppv
TYPE I & TYPE II ERRORS SENSITIVITY & SPECIFICITY = SNOUT & SPIN Sensitive Tests that
TYPE I & TYPE II ... Tests that are Positive ... /ambcarerx #TypeI ... #TypeII #Type1 ... #Type2 #Errors #
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 ... worsened in head-hanging ... position (Note:
Positive Lachman test in ACL Injury Here is an exam of a patient under anesthesia with an
Positive Lachman ... buckle during running ... and cutting activities ... #Knee #Injury #Positive
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 Important Biostatistics and Epidemiology Equations Sensitivity = TP / (TP + FN) = true positives / disease
TP + FN) = true positives ... disease absent Positive ... TP + FP) = true positives ... / all positives ... #specificity #PPV
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
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
worsen with head position ... auditory findings BPPV ... Positive Hallpike ... vestibular neuritis); positive ... Positive head impulse
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
Dix-HaIlpike Maneuver • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... with head hanging ... The test is positive ... neurology #vertigo #bppv
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
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