BPPV Flashcards
sudden onset of acute vertigo
visualize the room spinning
may have imbalance or nausea too
often correlates with head position change
BPPV
How long does vertigo last?
seconds to minutes
Is there a high reoccurrence rate for bppv?
yes
what is involved in a neuro screen to rule out a central cause like CVA/Stroke
if there is just a sudden onset likely not correlated to a positional change it is not BPPV
vertebral artery test
oculomotor test: want to know abnormal movement before
look for the 5 Ds and 3 Ns then refer immediately
80% of BPPV is what canal?
posterior
You see upbeat torsional nystagmus during R dix hallpike with cupulothiasis >60 without latency
liberatory (rainbow over)
you see upbeat torsional nystagmus during R dix hallpike with canalothiais less than 60 sec with latency
epley
if you see down beat torsional nystagmus what do you do?
anterior canal
deep head hang
you complete the R Roll test and see geotrophic toward the ground what test next
bow test
you complete the R roll test and see apogeotrophic toward the ceiling what test next
lean test
what do the bow and the lean test tell you and what do you do next
tells you which ear is involved by seeing which direction the nystagmus goes
then you complete the 270 bbq roll to with the involved side down first
With the 270 bbq treatment which ear is down?
involved side
