![]() ![]() ![]() You might also be interested in our premium collection of 1,000+ ready-made OSCE Stations, including a range of clinical examination stations ✨ Dix-Hallpike test ![]() Gain consent to proceed with the examination.Īsk the patient to sit on the examination couch. “Do you have any pain anywhere currently?”Ĭheck the patient has someone who can help them get home safely, as they may be dizzy after the procedure.“Do you have any neck or back problems?”.The second stage will involve me holding your head whilst asking you to roll onto your side and then to sit upright.”Ĭheck if the patient has any back or neck problems that would contraindicate performing the assessments: The first stage will involve moving you from a sitting to a lying position briskly on the examination couch. Introduce yourself to the patient including your name and role.Ĭonfirm the patient’s name and date of birth.Īsk if the patient has noticed whether turning to one particular side seems to trigger the symptoms, which may provide an indication of the affected side.īriefly explain what the examination will involve using patient-friendly language: “Today I need to perform some assessments to help diagnose and possibly treat the dizzy episodes you’ve been experiencing. Wash your hands and don PPE if appropriate. Light-headedness or a sensation of nausea might last longer than one minute, however, if the sensation of movement persists for more than one minute alternative diagnoses should be considered. These patients experience vertigo in brief episodes lasting less than one minute with changes of head position and return to normal between episodes. The Dix-Hallpike manoeuvre is indicated for patients with paroxysmal vertigo in whom BPPV is considered in the differential diagnosis. ![]()
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