51) A 35-year-old young female presented to the hospital with vertigo along with nausea and vomiting with benign paroxysmal postural vertigo. What is the best treatment option for her? A. Domperidone B. Metoclopramide C. Mosapride D. Ondansetron E. Prochlorperazines What is the best option sir😢
Many patient with vestibular neuritis do not have a preceeding upper respiratory track infection. Given the frequency of URI’s, it is unwise to conclude that any person with vertigo following a recent URI has vestibular neuritis without confirming it with the HIT and the rest of the HINTS exam.
I am an intern and I often face dilemmas while receiving a patient with complaints of Vertigo.Thank you ,Sir for giving a clear perception on approach to a vertigo.
Sir i am foreign Medical student From Pakistan... Its Your Videos that make all My syllabus Easy and Knowledgeable.. may allah bless you sir You are the best❤️
Thank you Sir! Subscribed. Suffering with this for a very long time. Have been diagnosed with Menieres Disease, and issues from mulitple ahead Traumas effwcting cranial nerves. This is an awful problem.. Really appreciate you post.
In the head impulse test, it’s not nystagmus you are looking for, but instead a “catch up” or corrective saccade. The magnitude of this saccade is greater than the nystagmus. And in addition, it is seen when the head is turned rapidly towards the ear which is the non-affected ear in vestibular neuritis. The fast component of the nystagmus in VN beats away from the affected ear.
Wonderful doctor, I had a cake walk of some of the difficult to understand subjects though I am a gynecologist. Nice to listen to your presentation. I will better equipped to help my patients. Thank you . Continue this marvelous medical service sir.
Asslamualikum, Doctor, your way of presentation appeals to the soul to not to miss a single lecture,it's just awesome and it could not be any better ,it's perfect.May Allah bless u 😊thanks.
AFTER SAW THIS VIDEO I M YOUR BIG FAN SIR ,YOU ARE MY MENTOR FOR FUTURE. I HAVE ALL READY SAW YOUR VIDEO IN VARIOUS TOPICS BUT TODAYS LECTURE ABOUT VERTIGO SO IMPRESSIVE YOUR INTERPRETATION MAKE EVERY TOPICS SO EASY THAT A SIMPLE PERSON MAKE OUT WHAT YOU TRYING TO SAY. I M FRM INDIA .KEEP IT SIR WE NEED MORE TOPICS THANKS
Sir ur videos are so great .very concise but with good explanation and there is a good organization.i see mny medical channel.urs is my favorite.please continue it.u r enlightening so many medical students life.thank you so much.
Hypoglycemia can also cause vertigo. Your presentation is good. But you should also throw light on posterior circulation stroke with MRI imagea to make this more comprehensible
The severity of the symptoms between central and peripheral as described is generally true, but is not a reliable way to determine if the patient is suffering from a central or peripheral problem.
Currently, vertigo experts are getting away from using the patient’s description of their dizziness to rule in or out any cause. Many patients with BPPV will not describe spinning, but instead describe it as lightheadedness. Just as in chest pain, you cannot rule in or out any cause of chest pain by merely asking if it’s a heaviness or a burning sensation.
Thanx a million Dr🙏🙏🙏🙏🙏 such an amazing video....May God Bless u in abundance for the endless effort u take for making such wonderful videos.u are a blessing for all medicos🙏🙏🙏
The otoliths normally reside in the utricle and saccule. When they are dislodged from there, that is when BPPV can develop. Rolling over in bed often triggers the dizziness also. Some patient will endorse a lesser but constant dizziness even when still.
Thank you for all your efforts to make it easy for us, please can you share your experience on how to read EEG, I didn't find a good video on what are the basic and how to read EEG in real EEG paper. I will be happy if you make a series of videos on it similar to the ECG that you did amazing job in explaining Best regards, Maher Ahmed
Awesome i had never seen such full information on this topic.great effort thanks . I am 72 male suffering from imbalance and Feeling of emptiness in brain. There is no bppv or ear problem.Brain mri shows age related cerebral atrophic and white matter ischemic changes, circumferential thickening in bilateral intracranial ICA and MCA atherosclerosis.hoping to be favoured.
Thank you so much, dr Waqas! One question. My mother had vertigo at the age of 30, back in 1993. It lasted for months and made her vomit upon movement of the head basically all the time. She lost 50 kg during those months and one day it just gradually ceased and she was fine. No therapy helped, it just took so long to get better. Could it have been caused by a previous viral infection?
Acute sensory neural hearing loss points towards central cause (labyrinthine infarct - AICA territory stroke). Checking hearing loss is part of HINTS PLUS examination (apart from checking nystagmus, head impulse and skew deviation).
Sir salam, I m regularly watching your medical videos and learned a lot. I m your fan and have a request that please make a video on post nasal drip and DNS symptoms and specifically on thats treatement 🙏
@@MedNerdDrWaqasFazal Thanks for reply sir, I m working in Emirates , and learned a lot you taught to me through your UA-cam. And that's practice is going up and most of patients appreciating me and that's all about you. I m very thankful to you and when I will come back, will meet you.
After watching this video I can say that I have perriferale vertigo problem which further lead to mienier desease. Because I have hearing loss but after eardrum surgery in Pakistan it has more worsen, continues tinnitus and sometimes vertigo with new issue of horizontal nystagmus. Using betahistine 24mg but still suffering
A 35-year-old young female presented to the hospital with vertigo along with nausea and vomiting with benign paroxysmal postural vertigo. What is the best treatment option for her? A. Domperidone B. Metoclopramide C. Mosapride D. Ondansetron E. Prochlorperazines What is the best option sir😢
Doctor I am experiencing sudden drop attacks that last seconds but they are severe I barely have nausea especially when eat fruits is that have any relation with meunière disease
Sir, my wife is suffering from moving thing around, fall down sudden, headache, weakness double vision cramp on lower leg. Please suggest me which doctor is best for this disease
Surroundings is moving while everything is stationary? How can you say that surroundings and everything are separate? Movement is in relation to the patient.Either the patient feels he is moving and the surroundings are stationary or the surroundings are revolving around the patient while the patient is stationary.patient won't be able to distinguish these 2 adequately becos the symptom can be very incapacitating and fast for the patient to define it. Either the patient is spinning or the surrounding space and objects around him are spinning.its an hallucination.
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51) A 35-year-old young female presented to the hospital with vertigo along with nausea and vomiting
with benign paroxysmal postural vertigo. What is the best treatment option for her?
A. Domperidone
B. Metoclopramide
C. Mosapride
D. Ondansetron
E. Prochlorperazines
What is the best option sir😢
Showed this to all my junior doctors at Harvard med school. Needless to say, we are all your fans now. Keep up the same quality!
Very kind of you 😊
Hii @shayanazizkhattak5776 .can i talk to u on any social media platform. I need some guidance to enter harvard med school. I am from India
Simple, stright to the point , sticking the concept into mind , knowledge emitting attitude, ultimately making student get admired...
First time this doctor understands the actual situation and brain situation
Many patient with vestibular neuritis do not have a preceeding upper respiratory track infection. Given the frequency of URI’s, it is unwise to conclude that any person with vertigo following a recent URI has vestibular neuritis without confirming it with the HIT and the rest of the HINTS exam.
I am an intern and I often face dilemmas while receiving a patient with complaints of Vertigo.Thank you ,Sir for giving a clear perception on approach to a vertigo.
Sir i am foreign Medical student From Pakistan... Its Your Videos that make all My syllabus Easy and Knowledgeable.. may allah bless you sir You are the best❤️
Thank you Sir! Subscribed. Suffering with this for a very long time. Have been diagnosed with Menieres Disease, and issues from mulitple ahead Traumas effwcting cranial nerves. This is an awful problem.. Really appreciate you post.
In the head impulse test, it’s not nystagmus you are looking for, but instead a “catch up” or corrective saccade. The magnitude of this saccade is greater than the nystagmus. And in addition, it is seen when the head is turned rapidly towards the ear which is the non-affected ear in vestibular neuritis. The fast component of the nystagmus in VN beats away from the affected ear.
Wonderful doctor, I had a cake walk of some of the difficult to understand subjects though I am a gynecologist. Nice to listen to your presentation. I will better equipped to help my patients. Thank you . Continue this marvelous medical service sir.
Asslamualikum, Doctor, your way of presentation appeals to the soul to not to miss a single lecture,it's just awesome and it could not be any better ,it's perfect.May Allah bless u 😊thanks.
Walaikmasalam ameen. Thank you very much Dr. Ruqaiya Hussain for your kind words. 😊
Thank you, I'm currently suffering from peripheral vertigo and this helped me understand my condition
Can't thank you enough. Amazing presentation.
AFTER SAW THIS VIDEO I M YOUR BIG FAN SIR ,YOU ARE MY MENTOR FOR FUTURE.
I HAVE ALL READY SAW YOUR VIDEO IN VARIOUS TOPICS BUT TODAYS LECTURE ABOUT VERTIGO SO IMPRESSIVE YOUR INTERPRETATION MAKE EVERY TOPICS SO EASY THAT A SIMPLE PERSON MAKE OUT WHAT YOU TRYING TO SAY.
I M FRM INDIA .KEEP IT SIR WE NEED MORE TOPICS
THANKS
MASHAllAH very nice presentation
Im in general practice training. My tutorial topic for this week is dizziness. This was perfect.
Sir ur videos are so great .very concise but with good explanation and there is a good organization.i see mny medical channel.urs is my favorite.please continue it.u r enlightening so many medical students life.thank you so much.
I pray for you every day .... respect for you and your efforts... from uae 🇦🇪 to any where are you ...
You're so enthusiastic and it's contagious thank you!
Thank you Sir ❤
Your videos are extremely helpful for me. JazakAllah ❤ May Allah bless you more
U have made it simple, clear and very interesting.
Such a wonderful video, precise and easy to remember. Thanks a lot.
Easiest presentation.
Much gratefulness to u
Love from🇧🇩Bangladesh🇧🇩
Hypoglycemia can also cause vertigo. Your presentation is good. But you should also throw light on posterior circulation stroke with MRI imagea to make this more comprehensible
The severity of the symptoms between central and peripheral as described is generally true, but is not a reliable way to determine if the patient is suffering from a central or peripheral problem.
It would also be good if you highlight importance of vestibular rehabilitation in the treatment!! Good explanation of basics
Currently, vertigo experts are getting away from using the patient’s description of their dizziness to rule in or out any cause. Many patients with BPPV will not describe spinning, but instead describe it as lightheadedness. Just as in chest pain, you cannot rule in or out any cause of chest pain by merely asking if it’s a heaviness or a burning sensation.
sir, you'r lectures are so palatable to understand❤😊,and approaches are so crystal clear to execute...
Doctor Sahab You doing it amazingly...
Thanks a lot Sir.. You are helping medical students In great Manner
You got a new subscriber Dr.Fazal. thsnkyou...please give us the gift of more useful educational videos !
Thanx a million Dr🙏🙏🙏🙏🙏 such an amazing video....May God Bless u in abundance for the endless effort u take for making such wonderful videos.u are a blessing for all medicos🙏🙏🙏
The otoliths normally reside in the utricle and saccule. When they are dislodged from there, that is when BPPV can develop. Rolling over in bed often triggers the dizziness also. Some patient will endorse a lesser but constant dizziness even when still.
Thank you for all your efforts to make it easy for us, please can you share your experience on how to read EEG, I didn't find a good video on what are the basic and how to read EEG in real EEG paper.
I will be happy if you make a series of videos on it similar to the ECG that you did amazing job in explaining
Best regards,
Maher Ahmed
Excellent sir❤❤❤
Simple and easy to grasp❤
Awesome i had never seen such full information on this topic.great effort thanks
. I am 72 male suffering from imbalance and Feeling of emptiness in brain. There is no bppv or ear problem.Brain mri shows age related cerebral atrophic and white matter ischemic changes, circumferential thickening in bilateral intracranial ICA and MCA atherosclerosis.hoping to be favoured.
sir very well explanation ,thanks for greatest information in simple lecture
Appreciate your hard work for making us understand so easily sir ❤️
Love from Nepal 🇳🇵
So Nice of you Nisek 😊
Such a wonderful lecture
Thank you sir for vertigo crystal clear video.
And you not mentioned cinnarizine anywhere?
Thank you so much, dr Waqas! One question. My mother had vertigo at the age of 30, back in 1993. It lasted for months and made her vomit upon movement of the head basically all the time. She lost 50 kg during those months and one day it just gradually ceased and she was fine. No therapy helped, it just took so long to get better. Could it have been caused by a previous viral infection?
Your all videos are outstanding sir ❤ easily understand
Explained nicely ..thanks sir
Very valuable information
Acute sensory neural hearing loss points towards central cause (labyrinthine infarct - AICA territory stroke). Checking hearing loss is part of HINTS PLUS examination (apart from checking nystagmus, head impulse and skew deviation).
Very beautiful lecture
Sir salam,
I m regularly watching your medical videos and learned a lot.
I m your fan and have a request that please make a video on post nasal drip and DNS symptoms and specifically on thats treatement
🙏
Walaikmasalam... So Nice of you 😊
@@MedNerdDrWaqasFazal
Thanks for reply sir,
I m working in Emirates , and learned a lot you taught to me through your UA-cam. And that's practice is going up and most of patients appreciating me and that's all about you.
I m very thankful to you and when I will come back, will meet you.
Thank you Sir, for such a nice explanation.
Thank you sir.
Very common case Daily day to day practice.
Sir Thank U am a house officer I love your videos
Thank you very indeed Dr.. Very understandable.
Amazing, God bless 🤲🏻👍🏻
I'm in love with your vídeos!
Thank you Dr,,we can talk about lupus erythematosus also
Excellent presentation.
Excellent video! Thank you!
Thanks for you.we need leucter about tunitis
Sir pls make videos regarding types of incontinence of urine.
Thank you
Sir ur lectures are good and concepts clear but plz sir deliver according to unit wise as we study as a sequence wise.👍🙏❤️
Very good described
Outstanding video sir
After watching this video I can say that I have perriferale vertigo problem which further lead to mienier desease. Because I have hearing loss but after eardrum surgery in Pakistan it has more worsen, continues tinnitus and sometimes vertigo with new issue of horizontal nystagmus. Using betahistine 24mg but still suffering
Great lecture sir. 👍
Very well explained ,,,🙏
sir please make a video on pt inr test
Sir Bahot bahot Accha Samjhaye Sir mujhe 4 Saal se Chakkar hai 38 Hospitals Visit Kiya no Results bahot Chakkar ate hain plzz sir help me
Please make a video on the topic"conversion disorder"
Sir please give me the answer what are the reason behind the after the treatment of upper respiratory tract infection vestibular inflammation
Amazing Sir Dr.!
Sir please make more videos it help us alot
Make a lecture on presyncopy
Sir ur the most amazing
Sir Dr.! why don't you teach gynaecological and obstetrics case plz?
Thanks again 🙏
Good day doctor please I didn’t get the t o drugs that you stated for labyrinthitis and vestibular neuritis
Please make video on ECG
Well explained 👍
Sir Pls do vedio on burns and electric shock
Sir.. what will the medicinal treatment of BPPV?
Sir Thank you again .......
Great sir
Vertigo is hallucination of movement.😊
Thanks a lot sir
can vertigo be part of 'conversion reaction'?
Is there an online consultation?
Not Beat down but
Down beat
Remember Downbeat is a type of vertical nystagmus and not a vertical nystagmus as a whole...
Excellent
Thank you sir 😊
A cerebellar stroke caused by an occlusion of the AICA (anterior inferior cerebellar artery) can produce hearing loss.
He mentioned this superficially at 08:03...
Sir plz make video on INFLUENZA H1N1
Thank you dctor
Too good
A 35-year-old young female presented to the hospital with vertigo along with nausea and vomiting
with benign paroxysmal postural vertigo. What is the best treatment option for her?
A. Domperidone
B. Metoclopramide
C. Mosapride
D. Ondansetron
E. Prochlorperazines
What is the best option sir😢
You are a Gem
Doctor I am experiencing sudden drop attacks that last seconds but they are severe I barely have nausea especially when eat fruits is that have any relation with meunière disease
Thank you sirrrr 👏🏼
Sir, my wife is suffering from moving thing around, fall down sudden, headache, weakness double vision cramp on lower leg. Please suggest me which doctor is best for this disease
Ginko Biloba. It helped my father eradicate vertigo. It is a natural Chinese ancient herb
Sir can u teach about nystagmus
Surroundings is moving while everything is stationary? How can you say that surroundings and everything are separate?
Movement is in relation to the patient.Either the patient feels he is moving and the surroundings are stationary or the surroundings are revolving around the patient while the patient is stationary.patient won't be able to distinguish these 2 adequately becos the symptom can be very incapacitating and fast for the patient to define it. Either the patient is spinning or the surrounding space and objects around him are spinning.its an hallucination.
Plz make a video on migraine