Vertigo is an illusion of movement that can be rotatory or postural. The clinical evaluation of patients with vertigo involves determining if they have true vertigo or other similar symptoms, identifying the type of vertigo, assessing precipitating and accompanying factors, and performing a neuro-otological examination. Common causes of vertigo include BPPV, vestibular migraine, Meniere's disease, and vestibular neuronitis. Management depends on correct diagnosis and may involve medications, repositioning maneuvers like the Epley maneuver for BPPV, or surgery.
This presentation explains one of the complication of Chronic suppurative otitis media - Otogenic Brain Abscess, it's stages, clinical manifestations, complications and management (comprising of investigations and treatment.)
This presentation explains one of the complication of Chronic suppurative otitis media - Otogenic Brain Abscess, it's stages, clinical manifestations, complications and management (comprising of investigations and treatment.)
Please find the power point on Benign Paroxysmal Positional Vertigo (BPPV). I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Leading a busy life with multiple roles, medical consultants need to balance work with rest of the life. Here I discuss GTD principles and applying it to our lives
Please find the power point on Benign Paroxysmal Positional Vertigo (BPPV). I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Leading a busy life with multiple roles, medical consultants need to balance work with rest of the life. Here I discuss GTD principles and applying it to our lives
Here I present current benign thyroid management principles. This is the lecture I delivered at Ruhunu Clinical Society - Annual Academic Sessions - Symposium on Benign Thyroid Diseases.
Here I discuss about the current management guidelines from British Thyroid Association and American Thyroid Association comparing those with the current practice in Sri Lanka
Recurrent Laryngeal Nerve and thyroid surgeryMTD Lakshan
Recurrent Laryngeal Nerve is closely related to the thyroid gland and therefore at risk during thyroid surgery. In this presentation I discuss some important aspects of the recurrent nerve in relation to the thyroid surgery.
Managing Upper airway problems in children for ENT / Paediatric / Anaesthetic...MTD Lakshan
Here I discuss approach to managing an obstructed upper airway of a child. Details about clinical assessment, investigations and management stratergies are outlined.
Stroke Details: loss of blood supply & oxygen to brain.
TIA : For short duration inadequate oxygen to brain.
Stroke Investigated by CT Scan & MRI. Immediate medical help require.
Stroke Warning sign: Mnemonic BE FAST
#Purvishah
HOW TO MANAGE PATIENTS WITH VERTIGO?
Andradi S.
Department of Neurology. University of Indonesia, Jakarta
disampaikan dalam Simposium PIT IDI Kota Bogor
1. Vertigo
Dr. MTD lakshan
MBBS, MS(ORL), DOHNS(Eng), FEB ORL HNS, FRCS ORL-HNS(Edin)
Consultant ENT and Head and Neck Surgeon
DGH Hambantota
Ruhunu Clinical Society Annual Sessions 2012
1
7. Schematic drawing of the
vestibular epithelium showing
the two cell types and the nerve
connections made on each.
8. The position of the crista ampularis and cupula within a cross section
of the ampulla of one semicircular canal. Also shown is the movement
of the cupula and its embedded cilia during rotation first in one
direction and then in the opposite direction.
9. Shearing force in vestibular organs. Upper diagram shows arrangement of cilia on a hair
cell as seen from above; position of kinocilium indicated by larger dot. Dashed line
indicates direction of effective shearing forces; forces at right angles are ineffective.
Lower diagram shows section through hair cell along dashed line (upper diagram) with
cilia at rest (center) and tilted right and left. Tilt toward kinocilium excites, tilt away
deceases excitation.
16. Precipitations
• At rest without any precipitation
• Walking
• Coughing, loud sounds
• Turning in the bed
• Turning head to a side
• Certain social / environmental conditions
31. Summary
• True Vertigo or Not
• Central vs Peripheral
• Clinical Evaluation and Judicious Investigations
• Medications and Physical treatment modalities
• Satisfying to properly assess and treat a vertigo
patient