34 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... worsen with head position ... auditory findings BPPV ... • Short-lived, positional ... differential #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... Vertigo (BPPV) ... and torsional nystagmus ... consistent with BPPV ... Labyrinthitis #diagnosis #neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... in PSC BPPV after ... sudhir_kothari #Ocular #Nystagmus ... clinical #video #physicalexam ... ophthalmology #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... Vertigo #diagnosis #neurology ... #bppv #comparison
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Ocular Nystagmus ... in PSC BPPV after ... #BPPV #Posterior ... clinical #video #physicalexam ... ophthalmology #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Lateral Medullary Syndrome ... - Wallenberg's Syndrome ... vomiting/vertigo/nystagmus ... • Ipsilateral Horner's ... #Wallenbergs #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... a diagnosis of Horner's ... syndrome. ... ophthalmology #physicalexam ... #neurology #Anisocoria
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... to the upright position ... Nystagmus 2. ... DixHallpike #Maneuver #BPPV ... Instructions #Diagnosis #neurology
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
for Treatment of BPPV ... Epley #Maneuver #BPPV ... Benign #paroxysmal #positional ... #vertigo #neurology ... clinical #video #physicalexam