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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 ... #BPPV #Benign # ... positional #vertigo #neurology ... #physicalexam #management
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 ... seen) • Epley maneuver ... Labyrinthitis #diagnosis #neurology
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
Dix-Hallpike Maneuver ... the Diagnosis of BPPV ... The Dix–Hallpike test ... (Nylen Barany test ... #neurology #PhysicalExam
Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
Dix-Hallpike Maneuver ... the Diagnosis of BPPV ... The Dix–Hallpike test ... (Nylen Barany test ... #neurology #Animated
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
for BPPV Procedure ... such that the shoulders ... 45° towards the test ... Supports the patient ... #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 ... rolls onto his/her shoulder ... positional #vertigo #neurology ... #physicalexam #management
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Dix-HaIlpike Maneuver ... The test is positive ... Dix #HaIlpike #Maneuver ... #neurology #vertigo ... #bppv #management
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... auditory findings BPPV ... • Short-lived ... or supine roll test ... differential #diagnosis #neurology
Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
Acute Treatment ... Non-pharmacologic Treatment ... Neuromodulation, Rest ... Migraine #acute #treatment ... #management #neurology
Pediatric Primitive Reflexes - Maneuver and Ages

Palmar Grasp Reflex
 - Place your fingers into the baby's
Primitive Reflexes - Maneuver ... holding jaw over shoulder ... Primitive #Reflexes #Maneuvers ... Peds #Diagnosis #Neurology ... GrepMed Recommended Text