20 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... worsen with head position ... change • Neurologic ... • Short-lived, positional ... or supine roll test
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... BENIGN PAROXYSMAL POSITIONAL ... in head-hanging position ... Labyrinthitis #diagnosis #neurology ... #comparison
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... following a finger) • Test ... #diagnosis #neurology ... #bppv #comparison ... #table
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): ... differential #diagnosis #comparison ... #table
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... signs #symptoms #comparison ... #neurology
Phimosis 
Inability to retract the foreskin - Can be normal up to 3 years old -
after age 4 Treatment ... back to anatomic position ... #Paraphimosis #Comparison ... #Diagnosis #Urology
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
Disorientation, vertigo ... Diagnostic tests ... - Ice cube test ... #rheumatology #comparison ... #table
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Epley Maneuver for Treatment ... into a supine position ... remains in this position ... remains in this position ... #vertigo #neurology
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Epley Maneuver for Treatment ... Benign #paroxysmal #positional ... #vertigo #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
on examination table ... on the edge of table ... 45° towards the test ... throughout the test ... Instructions #Diagnosis #neurology