*****CORRECTION**** at 30:34 the FRONTAL "EYE FIELDS" supply the contralateral paramedian pontine reticular formation sorry about that mistake ninja nerds!!!!
Why the hell is this man begging for likes😭...that breaks my heart. You're truly underappreciated dude !!! You're much more worthy that those likes and follows and subscribes !
Because that's how he earns while we learn from him for free. And I think he deserves every like and subscription because of the way he teaches, draws, writes, and maintains a passion for medicine in every video he creates. Even if you hate that part of him that lasts for 3 seconds of video, don't let that part ruin the rest of the 39 minutes you can enjoy and learn quickly.
UH mazing review, as always. We are learning things a bit differently in PT school (from one of the top Vertigo therapists in the country!). I thought I'd share what I'm learning: For Anterior and Posterior Canals, we test for BPPV using Dix Hallpike (30 degrees of neck extension), but the nystagmus will torsion toward the affected canal, (right torsional will mean right canals) with the addition of beating up or down: - Ant Canal will be down-beating nystagmus - Post Canal will be up-beating nystagmus Depending on how long the nystagmus lasts, we either have a canalithiasis (60 seconds) - Canalithiasis can be treated with CRM (Canal Repositioning Maneuver or Eply's) - Cupulothiasis means the otolith is stuck on the cupula, and needs more of a Semont Maneuver (you really BONK the patient to dislodge it!), followed by CRM For Horizontal Canals, we test using the Roll Test (30 degrees of neck flexion) This will tell us which canal, based on whether the nystagmus beats towards the ground (no matter which way you turn) or away from the ground. Geotropic (towards the ground) = Canalithiasis Apogeotropic (away from the ground) = Cupulothiasis And the affected side is determined based on the side's severity of symptoms (Canal = worse symptoms, Cupula = reduced symptoms) We treat Horizontal Canalithiasis using a maneuver called the BBQ Roll! Horizontal Cupulothiasis is treated with Modified Gufoni, then BBQ... Thanks for letting me talk that out before the big final!!
I’m not a medical student but you have really helped me to understand why the damage to my utricule causes me to have severe dizziness and balance issues. Also how the eyes, brain and inner ear work together. I have had to “retrain” these 3 to recognize the change in the “signals” they receive. I am so glad I stumbled onto your videos. Thank you for explaining it to where a non medical student could understand.
You know, even if I fail my exam, at least I´ll have rediscovered my passion for medecine. It got lost between the dry textbooks and absurd professors somewhere.
Your explanations are crystal clear and detailed. There is literally no one else on the internet that has the ability to explain things so well. Thank you.
greatful for this, my wife just came down with vertigo and this is helping me understand the eye movements they show in the other videos. Greatest illustration in real time also.
Zach I cannot express how helpful your videos are. Listening to you is truly so much more effective than reading textbooks over and over again. Love from Poland!
Dear Ninja, you are awesome explaining how fabulous our ear system is! Congratulations! Your tone and sound, of voice and expression is a gift in you and for those who listen to you. I am 76 and having a little trouble, feeling intense vertigo once in a while, but most of the time feeling like if I came out of a boat and my perception as in a low motion..
I'm studying for the IHS exam to get my Hearing Instrument Licensing certificate and these videos you did on the hears are just amazing. They have helped me understand things SO much better than the booklets I was given for studying. Thank you guys X1,000,000
Absolutely amazing. I am in awe of your astounding knowledge and how you are able to precisely explain everything almost flawlessly without missing a beat, but still in a way that I (just an average non-medical guy) can understand it all. You help me appreciate just how incredible the design, mechanism and wiring of living organisms is. Just astounding, thank you!
I am always motivated whenever I saw you getting excited and happy when you are explaining the physiology of a certain part XD I wonder how you understood Guyton and explained it to us in a very clear manner. Thank you very much!!! May more blessings shower upon you and your team !!!
Love how he is enthusiastic and excited about how darn cool this is, cuz that's how "teaching" should be, especially physiology🖤💥👍 One of the most mind-blowing and awesome lectures thanks so much 🖤
Wow! This was great!! I'm trying to understand my diagnosis of "Labyrinthitis", and this helped ALOT, especially with the vertigo part!! You're great!!
Watching your video is like watching a medical thriller movie. You can't stop at one and usually end up watching all prequels and sequels. Never know how the time flies. 👀
Yes, You have the best explanations😮 & Yes, you're saving my exams😁 & Yes, You're THE BEST Bio teacher I've found😀😊 (who is so darn cool😎) I can't thank you enough, may you stay safe n healthy n keep teaching us the Awesome way🤟
I think the important fact is that the position of the kinocilia, bcz you just said the depolarization happens when the stereocilia pushes up to the kinocilia but in your picture the hair cells are on the different side
@@1TheBasketBallGang1 He says that the canals are a representation of any SCC however this is incorrect, as the Kinocilia in the drawing are facing away from the utricle therefore they have to be either the superior or posterior canal, where ampullofugal flow (away from the ampulla) is excitatory. This is opposite to the horizontal canal where the kinocilia face toward the utricle making ampullopetal flow (towards the ampulla) excitatory
Amazing explanation your channel is the best thank you❤️ , but in this video i was wondering shouldn’t the hair cells be in opposite sides i mean kinocilium should be to the left and the stereocilia should be in the right side in the right semicircular canal and the opposite in the left one
You remind me of my neuroanatomy professor 50 years ago. He was very good but you are much more effective in explaining the structures and physiology at the same time. It’s very worthwhile to study the amazingly designed organs and very complex functions of our body, not just for people going into Medicine or health care fields. Thank you again for keeping the study interesting.
As usual awesomely explained. Thanks a lot. One correction, Deep head hanging maneuver for superior/anterior SCC BPPV & Lempert maneuver for Lateral SCC BPPV.
*****CORRECTION**** at 30:34 the FRONTAL "EYE FIELDS" supply the contralateral paramedian pontine reticular formation sorry about that mistake ninja nerds!!!!
Ninja Nerd Science LOL ja ja 👍🏾
❤
HAHAHA i was like whaaat
✌🏻
Please fix the white board to full part after lecture so that I can take screenshots of the explained pictures
Why the hell is this man begging for likes😭...that breaks my heart. You're truly underappreciated dude !!! You're much more worthy that those likes and follows and subscribes !
DAMN TRUE❤
Sincerely I don't know why pretty intelligent professors and knowledge archives are always down to earth.. blessings N.Nerd
Because that's how he earns while we learn from him for free. And I think he deserves every like and subscription because of the way he teaches, draws, writes, and maintains a passion for medicine in every video he creates. Even if you hate that part of him that lasts for 3 seconds of video, don't let that part ruin the rest of the 39 minutes you can enjoy and learn quickly.
He’s not begging, that’s rude to say.
UH mazing review, as always. We are learning things a bit differently in PT school (from one of the top Vertigo therapists in the country!).
I thought I'd share what I'm learning:
For Anterior and Posterior Canals, we test for BPPV using Dix Hallpike (30 degrees of neck extension), but the nystagmus will torsion toward the affected canal, (right torsional will mean right canals) with the addition of beating up or down:
- Ant Canal will be down-beating nystagmus
- Post Canal will be up-beating nystagmus
Depending on how long the nystagmus lasts, we either have a canalithiasis (60 seconds)
- Canalithiasis can be treated with CRM (Canal Repositioning Maneuver or Eply's)
- Cupulothiasis means the otolith is stuck on the cupula, and needs more of a Semont Maneuver (you really BONK the patient to dislodge it!), followed by CRM
For Horizontal Canals, we test using the Roll Test (30 degrees of neck flexion)
This will tell us which canal, based on whether the nystagmus beats towards the ground (no matter which way you turn) or away from the ground.
Geotropic (towards the ground) = Canalithiasis
Apogeotropic (away from the ground) = Cupulothiasis
And the affected side is determined based on the side's severity of symptoms (Canal = worse symptoms, Cupula = reduced symptoms)
We treat Horizontal Canalithiasis using a maneuver called the BBQ Roll!
Horizontal Cupulothiasis is treated with Modified Gufoni, then BBQ...
Thanks for letting me talk that out before the big final!!
I’m not a medical student but you have really helped me to understand why the damage to my utricule causes me to have severe dizziness and balance issues. Also how the eyes, brain and inner ear work together. I have had to “retrain” these 3 to recognize the change in the “signals” they receive. I am so glad I stumbled onto your videos. Thank you for explaining it to where a non medical student could understand.
Have you hearing loss too?
I had bad brainstem stroke ear on rightvis gone also eye you explained it to me in a way I could understand
You know, even if I fail my exam, at least I´ll have rediscovered my passion for medecine. It got lost between the dry textbooks and absurd professors somewhere.
Truth!
Same here...♥️
How i can get its dighrams u know?
Yeas 😁
lol I oooo z. Xo
I never commented on a video, but for real, you deserve a lot, thank you, such a great and passionate teacher
Your explanations are crystal clear and detailed. There is literally no one else on the internet that has the ability to explain things so well. Thank you.
I specially appreciate the time left at the end of each video that allows me to screenshot for taking notes on. Thank you for your consideration!
greatful for this, my wife just came down with vertigo and this is helping me understand the eye movements they show in the other videos. Greatest illustration in real time also.
Zach I cannot express how helpful your videos are. Listening to you is truly so much more effective than reading textbooks over and over again. Love from Poland!
wow, i'm studying anatomy and i had so many "it makes sense now!" moments during this video. thanks for teaching us!
I don't know how I would survive physio without this man
You have single handedly saved my neuroscience grade in med school and have restored my passion for medicine, thank you ❤
you were born to teach! bless you
Dear Ninja, you are awesome explaining how fabulous our ear system is! Congratulations! Your tone and sound, of voice and expression is a gift in you and for those who listen to you. I am 76 and having a little trouble, feeling intense vertigo once in a while, but most of the time feeling like if I came out of a boat and my perception as in a low motion..
The most Handsome Mentor/Teacher for Medical students on UA-cam & medschool.
Love you sir from 🇵🇰.
I'm a Registered Nurse. I was just looking around about Nystagmus (I used to work in the ED.) You just blew my mind! Thank you!!!!
Finally understood what guyton was trying to say 😂
👍
😁👌
HAHAHAHA
You're from which country😂😂so guyton is used worldwide
Lmfaooo facts
I'm studying for the IHS exam to get my Hearing Instrument Licensing certificate and these videos you did on the hears are just amazing. They have helped me understand things SO much better than the booklets I was given for studying. Thank you guys X1,000,000
Did you pass?
Absolutely amazing. I am in awe of your astounding knowledge and how you are able to precisely explain everything almost flawlessly without missing a beat, but still in a way that I (just an average non-medical guy) can understand it all. You help me appreciate just how incredible the design, mechanism and wiring of living organisms is. Just astounding, thank you!
I am always motivated whenever I saw you getting excited and happy when you are explaining the physiology of a certain part XD I wonder how you understood Guyton and explained it to us in a very clear manner. Thank you very much!!! May more blessings shower upon you and your team !!!
What a Way Of Teaching Sir... to Be Honest You Are A Blessing For Medical Students
Love how he is enthusiastic and excited about how darn cool this is, cuz that's how "teaching" should be, especially physiology🖤💥👍
One of the most mind-blowing and awesome lectures thanks so much 🖤
may God bless u all the time to keep teaching like this. :D i am the type who have to watch video first before open and read the textbook.
Wow! This was great!! I'm trying to understand my diagnosis of "Labyrinthitis", and this helped ALOT, especially with the vertigo part!! You're great!!
honestly your a true legend. I pray to God He blesses you
You've demystified my hearing science class! THANK YOU!!
THAT IS HOW SHOULD WE USE UA-cam !!!
Man, I just be letting the ads play and don't even skip so this man can get👏🏽his👏🏽money!👏🏽 😆 He is a lifesaver...
I finally understood what the heck is the semi circular canal and the nystagmus things... thanks professor.
Hello from Belarus.this video the best one.thanks for your job.l am dr.neurologist and it was interesting for me to remember this information.
Im 3 rd yr MBBS student .... I started Ent ur videos helped me a lot ... thanks for it ..love from Kashmir ♥️
thank you dr ninja, you helped me my medical journey.
YOUR HARD WORK IS MORE PRECIOUS THAN THESE LIKES , YOU ARE GENIUS , LOVE YOU SIR....🥰🥰🥰🥰🥰🥰🥰🥰🥰🥰🥰
Honestly one of the best youtube videos that explains the vestibular organ. Thank you so much.
i learn so much from you than my actual lecturer. god bless
U are such a blessing to medical students
Oh man, im indonesian, im a medical student, you help me a lot, big thanks bro!
Excellent and very didactic presentation, great teaching skills. Thanks
It's just fascinating seeing your passion for delivering such information.
You are Amazing Sir !! Your videos help me a lot and also clear all doubts which were circulating in my mind . Greatly thankfull to you Sir.
Wow I love your excitement while explaining
Words are not enough to express my gratitude😭big thanks from Armenia 🇦🇲
Watching your video is like watching a medical thriller movie. You can't stop at one and usually end up watching all prequels and sequels. Never know how the time flies. 👀
Thank you so much! One of the best videos about SCCs physiology on UA-cam!
you are the best I am spreading your videos in our batch whatssapp group, class & everywhere. Thaaaank you so much
Yes, You have the best explanations😮 & Yes, you're saving my exams😁 & Yes, You're THE BEST Bio teacher I've found😀😊 (who is so darn cool😎)
I can't thank you enough, may you stay safe n healthy n keep teaching us the Awesome way🤟
Take a bow Zach!!!!...truly incredible 🤩
It is obvious you love teaching, I'm so grateful for your videos, thank you from Spain!!
Thank you so much Zach!! U Are Always there when I’m on the verge of pulling my hair out
I think the important fact is that the position of the kinocilia, bcz you just said the depolarization happens when the stereocilia pushes up to the kinocilia but in your picture the hair cells are on the different side
Ljubomir Cirakovic , I had the same question...... did you ever get a reply ?
I think you are right! :)
@@1TheBasketBallGang1 He says that the canals are a representation of any SCC however this is incorrect, as the Kinocilia in the drawing are facing away from the utricle therefore they have to be either the superior or posterior canal, where ampullofugal flow (away from the ampulla) is excitatory. This is opposite to the horizontal canal where the kinocilia face toward the utricle making ampullopetal flow (towards the ampulla) excitatory
Good spot, I was wondering the same thing. Thanks for highlighting
same question about the figure
All you"re videos are great. Look forward to seeing them ALL!
I feel like never stop listening to you! Than you so much
I like how they're called 'maneuvers', it makes them seem as cool as doing maneuvers as a fighter pilot
It was really good , finally understood the whole thing
So passionate and helpful... That excitement though 28:35 ... U are the best brother 👏
Amazing explanation your channel is the best thank you❤️ , but in this video i was wondering shouldn’t the hair cells be in opposite sides i mean kinocilium should be to the left and the stereocilia should be in the right side in the right semicircular canal and the opposite in the left one
im wondering the same thing
@@marianfarfan.fontalvo3539 Yes, you are correct. The kinocilium are actually on the medial side (nearest to midline) of each hair cell on both sides!
Iam like you emotion
بشر تخرجت ولا باقي ههههههههههههههه
you saved my life! you are hero.
THANKS SO MUCH.DIMISTIFICATION ATTENDS YOUR 'MADE SIMPLE PRESENTATIONS.KEEP UP THE GREAT HELPFUL, ERUDITE WORK.
Vestibular nystagmus is darn cool!! You just remained me why I choose medical. Thank you❤
WORLD CLASS PRESENTATION.
you are trully a blessing!! thank you for making these videos!!
Excellent teaching skills that compensate several errors.
i was about to waste my whole day of trying to understand this you really saved the day
this is so so amazing. thank you so much for this video. gonna recommend it to my batch mates and juniors
where frm u r
I’m speechless. Thank you so much
You deserve at least 100 million subscribers
Thank you very much man.. You are born to teach
I hope all teachers were like this 😭
I knew after watching your videos I will get everything :). Thank you so much!
Man.. please ♥️
We need you to explain more to us about nystagmus
Wonderful lecture as always, thank you so much 😊
Love the dedication to make our concept clear 👍👍👍❣️❣️
I am a medical student and this video has helped me soooooooo much
I can't believe I just stumbled upon your channel. I'm in the thick of A&P2 right now. Thank you for your videos!!
thank you for the great explanations! definitely one of the best lecturer :'))
You are a genius! your video really help me! greetings from Buenos Aires´s University ( UBA) Argentina
Amazing... Im really amazed at this video and how you explained it clearly.
Would love to hear an explanation about how nystagmus occurs, especially torsional from posterior/anterior canalithiasis!
Really helpful...
I really appreciate u...
i have no words to say about you...
love you form paramedial potine reticular formation...
❤❤❤
Thank you, you really saved my life ❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️❤️
thank you for your lectures, so helpful !!!!!
Thank you, this section with Neurology it was very helpful.
BEST TEACHER EVERRR!!!
Best teacher ever
Well done ! Thank you Professor Zach !
You remind me of my neuroanatomy professor 50 years ago. He was very good but you are much more effective in explaining the structures and physiology at the same time. It’s very worthwhile to study the amazingly designed organs and very complex functions of our body, not just for people going into Medicine or health care fields. Thank you again for keeping the study interesting.
thank you, eveything is so clear now!!
As usual awesomely explained. Thanks a lot.
One correction, Deep head hanging maneuver for superior/anterior SCC BPPV & Lempert maneuver for Lateral SCC BPPV.
Loved the entire playlist. 🫀 thank you
Just Great explanation!
You are much better than my teachers🤩I enjoy studying with your lessons.Good luck😀
This guy saved. My first year medical. 😭
Thank you so much for all your videos
Thank you so much sir
U are an amazing teacher Ninja Nerd 😊😊😊😊
U r life saver..
God bless u👍🏻👍🏻👍🏻👍🏻
Wow
Really really you are amazing
This is the best possible way to make this hard topic easy and interesting
You did great job👏🏻👏🏻👏🏻
Thank you so much
How you are passionate about physiology 🤩 thanks ninja
Preparing for my pg and it's really helpful thank you😀
Thank you so much for your lucid presentation to understand this complex anatomical and physiological pathways of vertigo !