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At last, videos of the Dix-Hallpike and Epley maneuvers are discussed, in video form — via McGraw-Hill’s AccessMedicine website (where Tintinalli is also online). Maybe this will cut down on their interchangeability in clinical parlance! Since the audio is horrible, EM Practice has a nice description of the Dix-Hallpike test from their 2001 Dizziness issue (see below):

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Ah, the first Conference of the academic year. The new faces, with their bubbling enthisasm, suddenly confronted with the annual reading of the policies & procedures manual… why, it’s enough to give anyone a headache and photophobia. Which is why it’s so timely that we review meningitis, with a focus on some physical exam skills that can (but may not) help guide your diagnosis.

Tim reviewed a paper by Thomas et al out of Yale, published in Clinical Infectious Diseases (2002;Vol 35 July 1, pp46-52) called “The Diagnostic Accuracy of Kernig’s Sign, Bruzinski’s Sign, and Nuchal Rigidity in Adults with Suspected Meningitis.” Here’s his CAT sheet.

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