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😢
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.
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.
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❤️
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.
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.
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.
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
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.
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.
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🙏🙏🙏
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.
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).
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
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
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?
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 TH-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.
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
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
Hello sir mere husband ko 7 monthks sai vertigo problem balance bhi jata hai BAHUT sai ENT specialist ko dithaya neurologist ko bhi dikhaya but problem solve nahi horahi hai please suggest me what to do please
what if you have both central and peripheral? Ive been going back and forth between the cardiologist, ent, and neurologist and some say its central and some say its peripheral. none of them agree on a diagnosis. ive always gotten terrible motion sickness from basically everything from being a passenger in a car to swinging on a swing, or even just moving my head to quickly. went to a vestibular physical therapist and she diagnosed me with vestibular migraine, which i thought was central. but i also do get tinnitus and the ent said i had high frequency hearing loss and believed it was peripheral. i tried to get vng testing done but the water caloric part trigger a vestibular migraine so bad, i thought i was going to have a stroke so i wasnt able to finsih the test. also had brain mri done and there were a couple lesions in the subcortical regions, but all of these drs continue to brush me off and just push beta blockers, but i already have a low resting hr so i decline the meds everytime. this all got very severe in spring 2020 after getting covid for the first time.
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
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😢
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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
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.
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.
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❤️
Can't thank you enough. Amazing presentation.
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. 😊
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.
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.
Thank you, I'm currently suffering from peripheral vertigo and this helped me understand my condition
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
Easiest presentation.
Much gratefulness to u
Love from🇧🇩Bangladesh🇧🇩
MASHAllAH very nice presentation
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.
Im in general practice training. My tutorial topic for this week is dizziness. This was perfect.
Such a wonderful video, precise and easy to remember. Thanks a lot.
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.
Doctor Sahab You doing it amazingly...
You're so enthusiastic and it's contagious thank you!
I pray for you every day .... respect for you and your efforts... from uae 🇦🇪 to any where are you ...
You got a new subscriber Dr.Fazal. thsnkyou...please give us the gift of more useful educational videos !
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.
Thanks a lot Sir.. You are helping medical students In great Manner
Excellent sir❤❤❤
Simple and easy to grasp❤
Appreciate your hard work for making us understand so easily sir ❤️
Love from Nepal 🇳🇵
So Nice of you Nisek 😊
Such a wonderful lecture
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.
Explained nicely ..thanks sir
sir very well explanation ,thanks for greatest information in simple lecture
I'm in love with your vídeos!
Your all videos are outstanding sir ❤ easily understand
Very valuable information
sir, you'r lectures are so palatable to understand❤😊,and approaches are so crystal clear to execute...
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🙏🙏🙏
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 sir.
Very common case Daily day to day practice.
Very beautiful lecture
Thank you very indeed Dr.. Very understandable.
It would also be good if you highlight importance of vestibular rehabilitation in the treatment!! Good explanation of basics
Very Nice. Thank you.
Excellent video! Thank you!
Thank you Sir, for such a nice explanation.
Sir Thank U am a house officer I love your videos
Amazing, God bless 🤲🏻👍🏻
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).
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 👌
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
Thank you sir for vertigo crystal clear video.
And you not mentioned cinnarizine anywhere?
Outstanding video sir
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?
Very well explained ,,,🙏
Excellent presentation.
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 TH-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.
Very good described
Great lecture sir. 👍
Amazing Sir Dr.!
Vertigo is hallucination of movement.😊
Thanks again 🙏
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 please give me the answer what are the reason behind the after the treatment of upper respiratory tract infection vestibular inflammation
Thank you Dr,,we can talk about lupus erythematosus also
Sir ur the most amazing
Thanks for you.we need leucter about tunitis
Well explained 👍
Good day doctor please I didn’t get the t o drugs that you stated for labyrinthitis and vestibular neuritis
sir please make a video on pt inr test
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 ur lectures are good and concepts clear but plz sir deliver according to unit wise as we study as a sequence wise.👍🙏❤️
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
Thank you sir 😊
Sir pls make videos regarding types of incontinence of urine.
Thank you
Thank you sirrrr 👏🏼
Great sir
Sir Thank you again .......
can vertigo be part of 'conversion reaction'?
Hello sir mere husband ko 7 monthks sai vertigo problem balance bhi jata hai BAHUT sai ENT specialist ko dithaya neurologist ko bhi dikhaya but problem solve nahi horahi hai please suggest me what to do please
what if you have both central and peripheral? Ive been going back and forth between the cardiologist, ent, and neurologist and some say its central and some say its peripheral. none of them agree on a diagnosis. ive always gotten terrible motion sickness from basically everything from being a passenger in a car to swinging on a swing, or even just moving my head to quickly. went to a vestibular physical therapist and she diagnosed me with vestibular migraine, which i thought was central. but i also do get tinnitus and the ent said i had high frequency hearing loss and believed it was peripheral. i tried to get vng testing done but the water caloric part trigger a vestibular migraine so bad, i thought i was going to have a stroke so i wasnt able to finsih the test. also had brain mri done and there were a couple lesions in the subcortical regions, but all of these drs continue to brush me off and just push beta blockers, but i already have a low resting hr so i decline the meds everytime. this all got very severe in spring 2020 after getting covid for the first time.
When you wake up and get out the bed in the mornings do you feel dizzy a little bit or just feel like something is off ?
The covid nonsense.
Sir.. what will the medicinal treatment of BPPV?
Sir please make more videos it help us alot
Sir Dr.! why don't you teach gynaecological and obstetrics case plz?
Please make a video on the topic"conversion disorder"
Is there an online consultation?
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
Make a lecture on presyncopy
Thanks a lot sir
You are a Gem
Excellent
Sir why vertigo is associated with nystagmus
Too good
Thank you dctor
Please make video on ECG
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
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😢
Sir plz make video on INFLUENZA H1N1