71 results
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... Benign Paroxysmal Positional ... in head-hanging position ... with repeated testing ... #physicalexam #testing
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #PhysicalExam #Testing ... #Vertigo #Central
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... Vertigo (BPPV) ... BENIGN PAROXYSMAL POSITIONAL ... VERTIGO • Age ... in head-hanging position
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
worsen with head position ... • Short-lived, positional ... Positive Hallpike test ... or supine roll test ... Positive head impulse test
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
continuous and lasting ... upbeat (fast phase beating ... labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... Benign Paroxysmal Positional ... Vertigo (BPPV): ... Continuous episodes, lasting ... Recurrent episodes lasting
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Benign paroxysmal positional ... than 30 seconds), positional ... usually lasting ... episode usually lasting ... Positional symptoms
Antenatal Visits - Testing and Schedule
At Every Visit:	
 • Gestational Age	
 • BP
 • Maternal Weight
Antenatal Visits - Testing ... Stillbirth GDM Management ... Glucose Challenge Test ... Glucose Tolerance Test ... 30 weeks) • Position
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Additional laboratory tests ... chronic kidney tests ... Test for celiac ... Non-invasive testing ... change medical management
Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
Physical Exam Testing ... the 50-second test ... to maintain the position