No activity today, make something!
afya
Benign Paroxysmal Positional Vertigo
Markdown Help
Search globally
Save Tiddler
Revert Changes
Cancel Edit
<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> Viral Labrinthitis - constant Sx, short Hx Meniere - hearing loss and tinnitus as well, episodes last longer cerebellar - past pointing, dysdiadochokinesis ears - fullness (meniere) BPPV, look at drums sinuses - leaning forwards pulsatile tinnitus - heart disease commonest causes of vertigo - BPPV Sudden onset dizziness and vertigo triggered by change in head position average age onset 55yr ''Features'' vertigo triggered by change in head position - rolling over in bed, gazing upwards may be associated with nausea lasts 10-20 seconds positive Dix-Hallpike manoeuvre Good prognosis - resolves spontaneously in weeks to months Sx relief via Epley manoeuvre (80% success) excersizes pt can do at home eg Brandt-Daroff Medication (Betahistine) - limited value ''Hallpike'' .... each stage for 30secs, when lying head needs to go below level of bed sit ... lie back quickly and turn head to unaffected side (look for nystagmus and Sx occuring) sit ... lie back quickly and turn head to affected side ''Epley'' as for Hallpike but ... again each stage for 30 secs sit ... lie and go to affected side .... then over to unaffected .... then roll to face downwards ... then sit up with chin on chest quiet for rest of day
Autocomplete tags from:
Global tags
Local tags
ENT