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Benign Paroxysmal Positional Vertigo (BPPV) is a clinical syndrome (or disorder) marked by the recurrent attacks of vertigo or dizziness, provoked by lying down or turning over in the supine position (i.e. when the head changes position in relation to the vector of gravity). It is the most frequent vestibular syndrome, with a lifetime prevalence of 10% by the age of 80. The clinician who deals with vertiginous patients ought to be familiar with this disorder. The general practitioner should be able to suspect BPPV from the history of the patient in order to refer the patient correctly and save unnecessary time as well as costs for the patient. This book is a relatively brief, but accurate approach to the diagnosis and treatment of BPPV. It is accompanied by high quality color figures of the most principal diagnostic and therapeutic maneuvers, so that they can be understood by clinicians and physiotherapists of both advanced and basic levels of knowledge for the topic. Figures of the maneuvers are accompanied by 3D and 2D (where appropriate) illustrations of the labyrinth with semicircular canals and otoconia placement in the lumen of the affected canal; through this way, pathophysiology becomes evident to the reader. A brief, but comprehensive report of treatment maneuvers is introduced by the most recent and reliable researchers is provided. Chapter Six is focused on the most principal evidence based data. Special care has been given to the chapter on differential diagnosis of BPPV, because clinical entities that can manifest with symptoms mimicking BPPV can also be associated with true BPPV. Clinical occurrences are also discussed, based on abundant literature references. This is a truly unique effort to offer the reader a detailed approach to these delicate clinical matters, which are not routinely reported with such clarity, accuracy and detail. Another practical issue of premium importance is failure of treatment and further measures. Up-to-date information is also provided in this last chapter. This book has been an effort to offer specialized knowledge -- both at a basic and advanced level -- in a clear, structured and pleasant-to-read presentation.
Benign paroxysmal positional vertigo, or BPPV, is dizziness that comes from the inner ear. It affects more than eight million people in the United States alone. The good news is that this condition can be managed at home. Carol A. Foster, an Associate Professor of Otolaryngology at the University of Colorado, Denver School of Medicine, developed a maneuver that allows sufferers to treat their own symptoms. Her YouTube video demonstrating the maneuver has more than five million views. Written in a friendly and approachable tone, Overcoming Positional Vertigo provides readers a more in-depth guide to the diagnosis of BPPV, the specifics of treatments and maneuvers, and preventative measures one can take to avoid recurrence.
The paroxysmal disorders present neurologists and other medical professionals with diagnostic problems across a range of disorders, including multiple sclerosis, migraine and epilepsy. This new English language edition of a compendium of the paroxysmal disorders, originally published in German as Paroxysmale Störugen in der Neurologie, is an informative and practical resource for clinicians, which provides invaluable help with differential diagnosis and management. Fully updated throughout, this new edition comprehensively covers the entire spectrum of the paroxysmal disorders, including sudden falls, headache, vertigo attacks, memory loss, visual disturbances, seizures and anxiety. Each chapter is practice oriented, covering definitions, etiology, epidemiology, diagnosis, examination techniques and therapy. Detailed guidelines for gathering case-histories, essential for accurate diagnosis, are also provided. Important reading for clinicians, professionals and academic researchers working in neurology, psychiatry, epilepsy, internal medicine and ENT.
Unique case-based guide to generating diagnostic possibilities based on the patients' symptoms. Invaluable for psychiatrists and neurologists.
This book provides teaching scripts for medical educators in internal medicine and coaches them in creating their own teaching scripts. Every year, thousands of attending internists are asked to train the next generation of physicians to master a growing body of knowledge. Formal teaching time has become increasingly limited due to rising clinical workload, medical documentation requirements, duty hour restrictions, and other time pressures. In addition, today’s physicians-in-training expect teaching sessions that deliver focused, evidence-based content that is integrated into clinical workflow. In keeping with both time pressures and trainee expectations, academic internists must be prepared to effectively and efficiently teach important diagnostic and management concepts. A teaching script is a methodical and structured plan that aids in effective teaching. The teaching scripts in this book anticipate learners’ misconceptions, highlight a limited number of teaching points, provide evidence to support the teaching points, use strategies to engage the learners, and provide a cognitive scaffold for teaching the topic that the teacher can refine over time. All divisions of internal medicine (e.g. cardiology, rheumatology, and gastroenterology) are covered and a section on undifferentiated symptom-based presentations (e.g. fatigue, fever, and unintentional weight loss) is included. This book provides well-constructed teaching scripts for commonly encountered clinical scenarios, is authored by experienced academic internists and allows the reader to either implement them directly or modify them for their own use. Each teaching script is designed to be taught in 10-15 minutes, but can be easily adjusted by the reader for longer or shorter talks. Teaching Scripts in Internal Medicine is an ideal tool for internal medicine attending physicians and trainees, as well as physician’s assistants, nurse practitioners, and all others who teach and learn internal medicine.
Using a case-oriented approach, this practical text provides evidence-based guidance related to the evaluation and management of persons with balance and vestibular disorders. The text benefits by the combined expertise of a neurologist, a neurotological surgeon, and a physical therapist.
Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.
Vertigo is the feeling that everything around is moving or spinning and is usually caused by a problem with the balance mechanisms in the inner ear. It can also be caused by problems in certain parts of the brain or vision disorders. This book is a comprehensive guide to the diagnosis and management of vertigo. Beginning with basic anatomy, physiology and epidemiology of dizziness, the following chapters examine different causes of vertigo, their diagnosis and treatment. Edited by recognised Italian otolaryngologists, this textbook has been written by authors (many from the US) from multidisciplinary backgrounds including otolaryngology, neurology, anatomy, physiology, epidemiology and surgery. This invaluable guide includes extensive references and numerous clinical photographs, illustrations, tables and figures. Key points Comprehensive guide to diagnosis and treatment of vertigo Covers anatomy and physiology and numerous causes Multi-disciplinary author and editor team from Europe and the USA Includes 130 images and illustrations
Vertigo is the feeling that everything around is moving or spinning and is usually caused by a problem with the balance mechanisms in the inner ear. It can also be caused by problems in certain parts of the brain or vision disorders. Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo causing brief episodes of mild to intense dizziness. BPPV is usually triggered by specific changes in the position of the head, when tipping the head up or down, when lying down, or when turning over or sitting up in bed. This book is a comprehensive guide to BPPV. Beginning with an introduction to anatomy, physiology and differential diagnosis, the following sections discuss the different types of BPPV – posterior, horizontal, anterior, subclinical, multicanal, secondary, migraine-associated and more. The final chapters examine medical and surgical management techniques and the book concludes with an atlas of diagnostic and therapeutic procedures for BPPV. The book is authored by recognised experts from Italy. Key Points Comprehensive guide to diagnosis and management of benign paroxysmal positional vertigo (BPPV) Covers all types of BPPV Includes atlas illustrating diagnostic and therapeutic procedures Recognised author team from Italy