Vertigo atau yang disebut orang awam dengan sebutan pusing berputar. Bisa dusebabkan oleh berbagai sebab, baik adanya kelainan ssp maupun ketidakseimbangan
This document outlines the approach to evaluating a patient presenting with dizziness. It discusses the overview, epidemiology, major etiologies including vertigo, disequilibrium, syncope, and nonspecific dizziness. For each etiology, the summary includes defining the condition, taking a relevant history, performing a physical exam including special maneuvers, generating a differential diagnosis, ordering appropriate investigations, management, identifying red flags, providing health education, follow up, and the role of family medicine. The approach emphasizes taking a thorough history to determine the type and characteristics of dizziness and using physical exam findings to distinguish peripheral from central causes of vertigo.
This document provides an overview of the medical approach to evaluating and diagnosing dizzy patients. It begins with an introduction to dizziness and vertigo. The evaluation involves taking a thorough history, performing a physical exam including tests like the Dix-Hallpike maneuver, and ordering relevant paraclinical tests. Differential diagnoses are categorized as non-systematized dizziness or vertigo, which can have peripheral or central causes. Peripheral causes of vertigo include benign paroxysmal positional vertigo and vestibular neuritis. Central causes involve the brainstem or cerebellum.
This document provides an overview of central vestibular disorders. It discusses how the vestibular system senses head motion and distributes signals to control eye movements, posture, and balance. Central vestibular disorders can cause pathological sensations of self-motion and conflicts between visual and vestibular inputs. Common causes include vascular issues like strokes, inflammation, tumors, inherited conditions, and migraines. Central vestigular disorders are challenging to diagnose but it is important to differentiate them from peripheral disorders due to their potential medical urgency and risk of long-term neurological effects.
This document provides an overview of approaches to evaluating and treating different types of headaches. It discusses evaluating patients for primary headaches like migraines and cluster headaches versus secondary headaches that could indicate an underlying condition. The assessment involves taking a thorough history and performing a neurological exam to identify concerning symptoms. Red flags that warrant further investigation include new severe headaches or headaches in older patients. Imaging and lumbar puncture may be used to rule out conditions like hemorrhage or infection. Treatment differs based on the headache type but may include abortive medications, prophylaxis, oxygen for cluster headaches, and steroids.
1. Dizziness and vertigo are common yet imprecise symptoms that can have many underlying causes and need to be differentiated.
2. Vertigo is a type of dizziness characterized by a perception of motion or spinning, which can be caused by problems in the inner ear or central nervous system.
3. Benign paroxysmal positional vertigo (BPPV) is an extremely common cause of vertigo brought on by changes in head position, characterized by short-lived, intense episodes of vertigo with horizontal nystagmus.
Vertigo is a common symptom that affects approximately 30% of people at some point in their life. There are many potential causes of vertigo, including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, Meniere's disease, and less commonly central nervous system lesions. A thorough history, physical exam including tests of ocular motor function and positional maneuvers, and occasionally neuroimaging can help identify the underlying cause in most patients. The most common peripheral vestibular disorders like BPPV and vestibular neuritis are usually self-limited and the main treatment is symptomatic.
Vertigo is a common symptom that affects approximately 30% of people at some point in their life. There are many potential causes of vertigo, including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, Meniere's disease, and less commonly central nervous system disorders. A thorough history, physical exam including tests of ocular motor function and positional maneuvers, and occasionally neuroimaging can help identify the underlying cause in most patients. The most common peripheral vestibular disorders like BPPV and vestibular neuritis are usually self-limited and the main treatment is symptomatic.
This document outlines the approach to evaluating a patient presenting with dizziness. It discusses the overview, epidemiology, major etiologies including vertigo, disequilibrium, syncope, and nonspecific dizziness. For each etiology, the summary includes defining the condition, taking a relevant history, performing a physical exam including special maneuvers, generating a differential diagnosis, ordering appropriate investigations, management, identifying red flags, providing health education, follow up, and the role of family medicine. The approach emphasizes taking a thorough history to determine the type and characteristics of dizziness and using physical exam findings to distinguish peripheral from central causes of vertigo.
This document provides an overview of the medical approach to evaluating and diagnosing dizzy patients. It begins with an introduction to dizziness and vertigo. The evaluation involves taking a thorough history, performing a physical exam including tests like the Dix-Hallpike maneuver, and ordering relevant paraclinical tests. Differential diagnoses are categorized as non-systematized dizziness or vertigo, which can have peripheral or central causes. Peripheral causes of vertigo include benign paroxysmal positional vertigo and vestibular neuritis. Central causes involve the brainstem or cerebellum.
This document provides an overview of central vestibular disorders. It discusses how the vestibular system senses head motion and distributes signals to control eye movements, posture, and balance. Central vestibular disorders can cause pathological sensations of self-motion and conflicts between visual and vestibular inputs. Common causes include vascular issues like strokes, inflammation, tumors, inherited conditions, and migraines. Central vestigular disorders are challenging to diagnose but it is important to differentiate them from peripheral disorders due to their potential medical urgency and risk of long-term neurological effects.
This document provides an overview of approaches to evaluating and treating different types of headaches. It discusses evaluating patients for primary headaches like migraines and cluster headaches versus secondary headaches that could indicate an underlying condition. The assessment involves taking a thorough history and performing a neurological exam to identify concerning symptoms. Red flags that warrant further investigation include new severe headaches or headaches in older patients. Imaging and lumbar puncture may be used to rule out conditions like hemorrhage or infection. Treatment differs based on the headache type but may include abortive medications, prophylaxis, oxygen for cluster headaches, and steroids.
1. Dizziness and vertigo are common yet imprecise symptoms that can have many underlying causes and need to be differentiated.
2. Vertigo is a type of dizziness characterized by a perception of motion or spinning, which can be caused by problems in the inner ear or central nervous system.
3. Benign paroxysmal positional vertigo (BPPV) is an extremely common cause of vertigo brought on by changes in head position, characterized by short-lived, intense episodes of vertigo with horizontal nystagmus.
Vertigo is a common symptom that affects approximately 30% of people at some point in their life. There are many potential causes of vertigo, including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, Meniere's disease, and less commonly central nervous system lesions. A thorough history, physical exam including tests of ocular motor function and positional maneuvers, and occasionally neuroimaging can help identify the underlying cause in most patients. The most common peripheral vestibular disorders like BPPV and vestibular neuritis are usually self-limited and the main treatment is symptomatic.
Vertigo is a common symptom that affects approximately 30% of people at some point in their life. There are many potential causes of vertigo, including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, Meniere's disease, and less commonly central nervous system disorders. A thorough history, physical exam including tests of ocular motor function and positional maneuvers, and occasionally neuroimaging can help identify the underlying cause in most patients. The most common peripheral vestibular disorders like BPPV and vestibular neuritis are usually self-limited and the main treatment is symptomatic.
Here are the answers to the quiz questions:
1. Nystagmus is away from the lesion side in peripheral vertigo.
2. Fitzgerald-Hallpike Test
3. Canalith repositioning maneuvers like Epley maneuver or Semont maneuver.
4. Vestibular neuronitis
5. Aminoglycoside antibiotics, loop diuretics, chemotherapeutic agents etc. can cause vestibulotoxicity leading to vertigo.
Here are the answers to the quiz questions:
1. Nystagmus is away from the lesion side in peripheral vertigo.
2. Fitzgerald-Hallpike Test
3. Canalith repositioning maneuvers like Epley maneuver or Semont maneuver.
4. Vestibular neuronitis
5. Aminoglycoside antibiotics, quinine, aspirin, etc. can be vestibulotoxic.
1. The document outlines the presentation for a discussion on vertigo, including its prevalence, classification, anatomy, physiology, causes, diagnosis, and tests to differentiate between peripheral and central vertigo.
2. Common causes of peripheral vertigo include benign paroxysmal positional vertigo, Meniere's disease, and labyrinthitis, while causes of central vertigo include vertebrobasilar insufficiency, arteriosclerosis, and brain tumors.
3. Diagnosis of vertigo involves medical history, balance tests like Romberg and Unterberger tests, and analysis of nystagmus including direction and whether it is inhibited by visual fixation.
The document discusses dizziness, its types (vertigo, disequilibrium, pre-syncope, syncope), common causes, diagnostic approach, examination findings, investigations, and treatment. The diagnostic approach involves taking a thorough history and conducting physical examinations like neurological and vestibular tests. Common causes include peripheral vestibular disorders, central nervous system issues, and psychiatric conditions. Treatment is directed at the underlying cause, which may include medication, repositioning procedures, rehabilitation therapy, or lifestyle changes.
This document provides an overview of vertigo, including its definition, causes, approaches to diagnosis, and common vestibular disorders. Vertigo is an abnormal sense of movement or spinning. Causes can be peripheral (inner ear) or central (brain). Common peripheral causes include BPPV, vestibular neuritis, and Meniere's disease. Central causes include seizures, MS, and stroke. Diagnosis involves assessing history, symptoms, and performing tests like Hallpike maneuver and caloric testing. Common disorders discussed are BPPV, vestibular neuritis, labyrinthitis, Meniere's disease, and vestibular migraine.
This document provides an overview of vertigo, including its definition, types, causes, clinical tests, and treatments. It discusses the differences between peripheral and central vertigo, with peripheral vertigo making up 85% of cases. Specific peripheral causes covered include benign paroxysmal positional vertigo (BPPV), vestibular neuronitis, and Meniere's disease. Clinical tests for evaluating vertigo include nystagmus tests, the Dix-Hallpike maneuver for BPPV, and caloric and rotational chair tests. Treatments range from reassurance and medication to repositioning maneuvers for BPPV and surgery in rare cases.
Definition
Classification
Causes of tinnitus
Treatment of tinnitus
Definition
Classification
Causes of tinnitus
Treatment of tinnitus
Definition of vertigo
It’s Causes
Specific Question for History
Differential diagnosis
Investigation
Management Plan
Vertigo and Nystagmus - Clinical approach part-2.pptxYasser Alzainy
This document provides an overview of vertigo and nystagmus. It begins by classifying nystagmus and discussing types of non-neuropathic and neuropathic nystagmus. Central and peripheral causes of dizziness are then reviewed. For central causes, various cerebrovascular, demyelinating, and structural disorders are discussed. For peripheral causes, vestibular neuritis, benign paroxysmal positional vertigo, and Meniere's disease are described in terms of their presenting symptoms, diagnostic maneuvers, and typical clinical courses.
The document discusses the management of low back pain. It provides an overview of common causes of low back pain such as spinal stenosis, disc herniation, radiculitis, and spondylosis. It also outlines the symptoms, diagnosis, and treatment approaches for low back pain. Treatment approaches discussed include physical therapy, exercises, medications, and in some cases surgery. Non-steroidal anti-inflammatory drugs, muscle relaxants, and antidepressants are some of the medications mentioned for pharmacological management of low back pain.
How Can A Chiropractor Help With Vertigo.pptxRealign Spine
Vertigo is a common problem among Americans, and several factors are responsible for it. The biggest question is- can a chiropractor help with vertigo? Let us find out.
This document discusses benign paroxysmal positional vertigo (BPPV). It begins with an overview of the anatomy and physiology of the vestibular system. It then defines BPPV and discusses its pathogenesis, symptoms, types, differential diagnosis, investigations and treatment modalities. The most common treatment is canalith repositioning procedures like the Epley maneuver which aims to move otoliths out of the semicircular canals.
Pathology of equilibrium - DR ADITYA GOELAditya Goel
The document provides information on the pathology of equilibrium and diseases related to it. It discusses the anatomy and physiology of the vestibular system including the otolith organs and semicircular canals. It then describes specific diseases like benign paroxysmal positional vertigo (BPPV), Meniere's disease, and superior semicircular canal dehiscence. BPPV is the most common cause of vertigo and involves displacement of otoconia within the inner ear. Diagnosis is made using tests like Dix-Hallpike and treatment involves repositioning maneuvers. Superior semicircular canal dehiscence involves a hole in the bone over the canal and causes both vestibular and
Vertigo is a common condition characterized by a sensation of rotation or spinning. Common causes include BPPV, vestibular neuritis, Meniere's disease, and acoustic neuromas. BPPV is the most common cause and involves detached inner ear crystals that move within the semicircular canals and stimulate cupulae. Diagnosis is made using the Dix-Hallpike maneuver which provokes nystagmus. Treatment involves repositioning procedures like the Epley maneuver to move the crystals back into the vestibule. Vestibular neuritis is an inflammation of the vestibular nerve and causes violent vertigo on head movement that improves with time. Acoustic neuromas present with unilateral
This document presents a clinical approach to diagnosing vertigo based on identifying key syndromes. It discusses 4 main syndromes: 1) acute vestibulopathy which includes vestibular neuritis likely caused by reactivation of herpes simplex virus, 2) recurrent vestibulopathy including migraine and Meniere's disease, 3) motion-induced vertigo including benign positional vertigo treated with maneuvers like Epley and Brandt-Daroff exercises, and 4) disequilibrium from central or peripheral causes. Differentiating central from peripheral causes is important, and a HINTS exam can help identify stroke.
This document provides an overview of vertigo and dizziness. It defines different types like vertigo, dysequilibrium, and lightheadedness. It describes the anatomy of the vestibular system and its role in stabilizing gaze, controlling posture, and sensing orientation. Common causes of vertigo are then outlined, like benign paroxysmal positional vertigo (BPPV), migraine, and Meniere's disease. The diagnosis process is discussed as being acute, recurrent, or chronic. Tests include checking for nystagmus. Treatment options covered include pharmacological approaches, physical rehabilitation techniques like the Epley maneuver, and potential surgical interventions.
This document discusses vertigo, which refers to a hallucinatory sensation of movement caused by a mismatch of sensory information from the vestibular, visual, and proprioceptive systems. Vertigo can be caused by lesions in the peripheral, intermediate, or central nervous system. Common causes of peripheral vertigo include BPPV, Meniere's disease, and labyrinthitis. Intermediate vertigo may be caused by vestibular neuronitis or acoustic neuroma. Central causes include stroke, MS, migraines, and brain tumors. Clinical tests like nystagmus patterns and the head thrust test can help differentiate peripheral from central vertigo. Treatment depends on the underlying cause but may include medications, exercises
Vertigo is a problem commonly encountered in daily clinical practice.So an uniform approach to a patient with Vertigo is essential to identify the underlying aetiology of Vertigo.
This document provides an overview of the approach to evaluating and diagnosing dizzy patients. It discusses taking a thorough history including details of episodes, performing a neurological and otological exam, and assessing eye movements, vestibular-ocular reflexes, and gait. Common causes of dizziness include peripheral issues like BPPV, Ménière's disease, and vestibular neuritis, as well as central causes like stroke and MS. Treatments for specific conditions like BPPV involve repositioning maneuvers to move canaliths like the Epley maneuver.
The document defines vertigo and discusses its causes and treatment. It begins by defining vertigo as a hallucination of self- or environmental movement due to a disturbance in the vestibular system. It then discusses the anatomy and physiology of the inner ear and vestibular system. Several potential causes of vertigo are outlined, including problems in the peripheral vestibular system, central nervous system, visual system, and medications. Tests used in evaluation and potential treatments like medications, surgery, and physical maneuvers like the Epley maneuver are summarized. Benign paroxysmal positional vertigo (BPPV) and Meniere's disease are highlighted as specific vestibular causes.
Ankylosing spondylitis is a form of arthritis that primarily affects the spine and sacroiliac joints, causing fusion of the spine over time. It typically develops in young adults aged 18-30 and is more common in men. Genetics play a role, as 90% of patients have the HLA-B27 gene. Symptoms include chronic lower back pain and stiffness that worsens with inactivity. Diagnosis involves blood tests, x-rays showing spinal changes, and assessment of limited range of motion. Treatment focuses on reducing inflammation and pain through NSAIDs, DMARDs, biologics that target tumor necrosis factor-alpha, and occasionally surgery for deformities.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Here are the answers to the quiz questions:
1. Nystagmus is away from the lesion side in peripheral vertigo.
2. Fitzgerald-Hallpike Test
3. Canalith repositioning maneuvers like Epley maneuver or Semont maneuver.
4. Vestibular neuronitis
5. Aminoglycoside antibiotics, loop diuretics, chemotherapeutic agents etc. can cause vestibulotoxicity leading to vertigo.
Here are the answers to the quiz questions:
1. Nystagmus is away from the lesion side in peripheral vertigo.
2. Fitzgerald-Hallpike Test
3. Canalith repositioning maneuvers like Epley maneuver or Semont maneuver.
4. Vestibular neuronitis
5. Aminoglycoside antibiotics, quinine, aspirin, etc. can be vestibulotoxic.
1. The document outlines the presentation for a discussion on vertigo, including its prevalence, classification, anatomy, physiology, causes, diagnosis, and tests to differentiate between peripheral and central vertigo.
2. Common causes of peripheral vertigo include benign paroxysmal positional vertigo, Meniere's disease, and labyrinthitis, while causes of central vertigo include vertebrobasilar insufficiency, arteriosclerosis, and brain tumors.
3. Diagnosis of vertigo involves medical history, balance tests like Romberg and Unterberger tests, and analysis of nystagmus including direction and whether it is inhibited by visual fixation.
The document discusses dizziness, its types (vertigo, disequilibrium, pre-syncope, syncope), common causes, diagnostic approach, examination findings, investigations, and treatment. The diagnostic approach involves taking a thorough history and conducting physical examinations like neurological and vestibular tests. Common causes include peripheral vestibular disorders, central nervous system issues, and psychiatric conditions. Treatment is directed at the underlying cause, which may include medication, repositioning procedures, rehabilitation therapy, or lifestyle changes.
This document provides an overview of vertigo, including its definition, causes, approaches to diagnosis, and common vestibular disorders. Vertigo is an abnormal sense of movement or spinning. Causes can be peripheral (inner ear) or central (brain). Common peripheral causes include BPPV, vestibular neuritis, and Meniere's disease. Central causes include seizures, MS, and stroke. Diagnosis involves assessing history, symptoms, and performing tests like Hallpike maneuver and caloric testing. Common disorders discussed are BPPV, vestibular neuritis, labyrinthitis, Meniere's disease, and vestibular migraine.
This document provides an overview of vertigo, including its definition, types, causes, clinical tests, and treatments. It discusses the differences between peripheral and central vertigo, with peripheral vertigo making up 85% of cases. Specific peripheral causes covered include benign paroxysmal positional vertigo (BPPV), vestibular neuronitis, and Meniere's disease. Clinical tests for evaluating vertigo include nystagmus tests, the Dix-Hallpike maneuver for BPPV, and caloric and rotational chair tests. Treatments range from reassurance and medication to repositioning maneuvers for BPPV and surgery in rare cases.
Definition
Classification
Causes of tinnitus
Treatment of tinnitus
Definition
Classification
Causes of tinnitus
Treatment of tinnitus
Definition of vertigo
It’s Causes
Specific Question for History
Differential diagnosis
Investigation
Management Plan
Vertigo and Nystagmus - Clinical approach part-2.pptxYasser Alzainy
This document provides an overview of vertigo and nystagmus. It begins by classifying nystagmus and discussing types of non-neuropathic and neuropathic nystagmus. Central and peripheral causes of dizziness are then reviewed. For central causes, various cerebrovascular, demyelinating, and structural disorders are discussed. For peripheral causes, vestibular neuritis, benign paroxysmal positional vertigo, and Meniere's disease are described in terms of their presenting symptoms, diagnostic maneuvers, and typical clinical courses.
The document discusses the management of low back pain. It provides an overview of common causes of low back pain such as spinal stenosis, disc herniation, radiculitis, and spondylosis. It also outlines the symptoms, diagnosis, and treatment approaches for low back pain. Treatment approaches discussed include physical therapy, exercises, medications, and in some cases surgery. Non-steroidal anti-inflammatory drugs, muscle relaxants, and antidepressants are some of the medications mentioned for pharmacological management of low back pain.
How Can A Chiropractor Help With Vertigo.pptxRealign Spine
Vertigo is a common problem among Americans, and several factors are responsible for it. The biggest question is- can a chiropractor help with vertigo? Let us find out.
This document discusses benign paroxysmal positional vertigo (BPPV). It begins with an overview of the anatomy and physiology of the vestibular system. It then defines BPPV and discusses its pathogenesis, symptoms, types, differential diagnosis, investigations and treatment modalities. The most common treatment is canalith repositioning procedures like the Epley maneuver which aims to move otoliths out of the semicircular canals.
Pathology of equilibrium - DR ADITYA GOELAditya Goel
The document provides information on the pathology of equilibrium and diseases related to it. It discusses the anatomy and physiology of the vestibular system including the otolith organs and semicircular canals. It then describes specific diseases like benign paroxysmal positional vertigo (BPPV), Meniere's disease, and superior semicircular canal dehiscence. BPPV is the most common cause of vertigo and involves displacement of otoconia within the inner ear. Diagnosis is made using tests like Dix-Hallpike and treatment involves repositioning maneuvers. Superior semicircular canal dehiscence involves a hole in the bone over the canal and causes both vestibular and
Vertigo is a common condition characterized by a sensation of rotation or spinning. Common causes include BPPV, vestibular neuritis, Meniere's disease, and acoustic neuromas. BPPV is the most common cause and involves detached inner ear crystals that move within the semicircular canals and stimulate cupulae. Diagnosis is made using the Dix-Hallpike maneuver which provokes nystagmus. Treatment involves repositioning procedures like the Epley maneuver to move the crystals back into the vestibule. Vestibular neuritis is an inflammation of the vestibular nerve and causes violent vertigo on head movement that improves with time. Acoustic neuromas present with unilateral
This document presents a clinical approach to diagnosing vertigo based on identifying key syndromes. It discusses 4 main syndromes: 1) acute vestibulopathy which includes vestibular neuritis likely caused by reactivation of herpes simplex virus, 2) recurrent vestibulopathy including migraine and Meniere's disease, 3) motion-induced vertigo including benign positional vertigo treated with maneuvers like Epley and Brandt-Daroff exercises, and 4) disequilibrium from central or peripheral causes. Differentiating central from peripheral causes is important, and a HINTS exam can help identify stroke.
This document provides an overview of vertigo and dizziness. It defines different types like vertigo, dysequilibrium, and lightheadedness. It describes the anatomy of the vestibular system and its role in stabilizing gaze, controlling posture, and sensing orientation. Common causes of vertigo are then outlined, like benign paroxysmal positional vertigo (BPPV), migraine, and Meniere's disease. The diagnosis process is discussed as being acute, recurrent, or chronic. Tests include checking for nystagmus. Treatment options covered include pharmacological approaches, physical rehabilitation techniques like the Epley maneuver, and potential surgical interventions.
This document discusses vertigo, which refers to a hallucinatory sensation of movement caused by a mismatch of sensory information from the vestibular, visual, and proprioceptive systems. Vertigo can be caused by lesions in the peripheral, intermediate, or central nervous system. Common causes of peripheral vertigo include BPPV, Meniere's disease, and labyrinthitis. Intermediate vertigo may be caused by vestibular neuronitis or acoustic neuroma. Central causes include stroke, MS, migraines, and brain tumors. Clinical tests like nystagmus patterns and the head thrust test can help differentiate peripheral from central vertigo. Treatment depends on the underlying cause but may include medications, exercises
Vertigo is a problem commonly encountered in daily clinical practice.So an uniform approach to a patient with Vertigo is essential to identify the underlying aetiology of Vertigo.
This document provides an overview of the approach to evaluating and diagnosing dizzy patients. It discusses taking a thorough history including details of episodes, performing a neurological and otological exam, and assessing eye movements, vestibular-ocular reflexes, and gait. Common causes of dizziness include peripheral issues like BPPV, Ménière's disease, and vestibular neuritis, as well as central causes like stroke and MS. Treatments for specific conditions like BPPV involve repositioning maneuvers to move canaliths like the Epley maneuver.
The document defines vertigo and discusses its causes and treatment. It begins by defining vertigo as a hallucination of self- or environmental movement due to a disturbance in the vestibular system. It then discusses the anatomy and physiology of the inner ear and vestibular system. Several potential causes of vertigo are outlined, including problems in the peripheral vestibular system, central nervous system, visual system, and medications. Tests used in evaluation and potential treatments like medications, surgery, and physical maneuvers like the Epley maneuver are summarized. Benign paroxysmal positional vertigo (BPPV) and Meniere's disease are highlighted as specific vestibular causes.
Ankylosing spondylitis is a form of arthritis that primarily affects the spine and sacroiliac joints, causing fusion of the spine over time. It typically develops in young adults aged 18-30 and is more common in men. Genetics play a role, as 90% of patients have the HLA-B27 gene. Symptoms include chronic lower back pain and stiffness that worsens with inactivity. Diagnosis involves blood tests, x-rays showing spinal changes, and assessment of limited range of motion. Treatment focuses on reducing inflammation and pain through NSAIDs, DMARDs, biologics that target tumor necrosis factor-alpha, and occasionally surgery for deformities.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central19various
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. Introduction
• After headache, vertigo and dizziness are among
the most frequent presenting symptoms, not only
in neurology.
• According to a survey of over 30,000 persons, the
prevalence of vertigo as a function of age is around
17%; it rises to 39% in those over 80 years of age
5. Definition
• Vertigo is considered either an unpleasant
disturbance of spatial orientation or the illusory
perception of a movement of the body (spinning
and wobbling) and/or of the surroundings.
14. DD Vertigo perifer
BPPV Meniere Vest neuritis
Positional vertigo yes Yes yes
Attack seconds days days
Nausea, Vomit + + +++
Age Old Old Young
Severity of Vertigo Mild - Moderate Mild - Moderate Moderate -severe
Hearing Loss - ++ -
15. Dx
• History
• Physical Exam
• Common neurological exam
• Vestibular system exam
• Audiometry
16. DD
• Other peripheral vertigo
• Central Vertigo
• Non vestibular vertigo
• Migrainous Vertigo