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Category · Journal

Symptoms & Diagnosis — the full library.

Symptoms & Diagnosis

71articles in category
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All articles in Symptoms & Diagnosis

Diagram of inner ear anatomy in Meniere's disease showing endolymphatic hydrops — abnormal distension of the endolymphatic space in the cochlea and labyrinth
Patient Education

Meniere Low Salt Diet and Diuretics: What Patients Should Know

Meniere low salt diet and diuretics guide by Dr. Porwal: patient-safe expectations, monitoring, triggers and when medicines are considered.

5 min read
Diagram of the cochlea showing the Organ of Corti, basilar membrane, and endolymphatic spaces relevant to Meniere's disease pathology
Patient Education

Meniere vs Vestibular Migraine: Hearing Clues and Attack Pattern

Meniere vs vestibular migraine guide by Dr. Porwal: hearing clues, tinnitus, migraine features, audiogram and treatment direction.

5 min read
Diagram distinguishing Meniere's disease vertigo from BPPV and vestibular neuritis based on duration, hearing loss, and tinnitus
Patient Education

Meniere vs BPPV: Ear Fullness, Hearing Loss and Positional Vertigo

Meniere vs BPPV guide by Dr. Porwal: attack duration, ear symptoms, Dix-Hallpike patterns, hearing tests and treatment differences.

5 min read
Diagram showing the four classic symptoms of Meniere's disease: episodic vertigo, fluctuating hearing loss, tinnitus, and aural fullness
Patient Education

Meniere Disease Stages: Early, Fluctuating and Late Patterns

Meniere disease stages guide by Dr. Porwal: early attacks, fluctuating hearing, late imbalance, testing and treatment planning.

5 min read
Person rubbing their eyes due to visual disturbance or eye strain — representing oscillopsia and visual symptoms associated with vestibular disorders and vertigo
Patient Education

Oscillopsia Causes and Treatment: When the World Looks Like It Bounces

Oscillopsia causes treatment guide by Dr. Porwal: bouncing vision, VOR weakness, bilateral vestibular loss, testing and rehab.

4 min read
Comparison diagram of nystagmus patterns in central vs peripheral vertigo — direction-changing vs unidirectional, suppressed vs unsuppressed by fixation
Patient Education

Central Positional Nystagmus vs BPPV: When Positional Vertigo Is Not Simple

Central positional nystagmus guide by Dr. Porwal: how it differs from BPPV, red flags, testing patterns and urgent warning signs.

4 min read
Diagram explaining skew deviation — vertical misalignment of the eyes — as a central sign in the HINTS exam for differentiating stroke from vestibular neuritis
Patient Education

Skew Deviation: Vertical Eye Misalignment in Vertigo

Skew deviation guide by Dr. Porwal: vertical eye misalignment, HINTS test, stroke warning signs and limits of interpretation.

4 min read
Educational diagram on stroke and TIA as life-threatening causes of acute vertigo — HINTS exam abnormalities and urgent imaging indications
Patient Education

Upbeat Nystagmus: What This Vertical Pattern Can Mean

Upbeat nystagmus guide by Dr. Porwal: central causes, Wernicke/stroke red flags, testing and vertigo workup.

4 min read
Educational diagram on stroke and TIA as life-threatening causes of acute vertigo — HINTS exam abnormalities and urgent imaging indications
Patient Education

Downbeat Nystagmus: A Vertical Eye Movement Warning Sign

Downbeat nystagmus guide by Dr. Porwal: causes, Chiari/cerebellar links, red flags and how it differs from BPPV.

4 min read
Educational diagram on nystagmus assessment within the HINTS exam — direction of fast phase, gaze-evoked changes, and clinical interpretation
Patient Education

Gaze-Evoked Nystagmus: Why Eyes Drift at Side Gaze

Gaze-evoked nystagmus guide by Dr. Porwal: causes, cerebellar warning signs, medicine effects and vertigo workup.

4 min read
Comparison diagram of nystagmus patterns in central vs peripheral vertigo — direction-changing vs unidirectional, suppressed vs unsuppressed by fixation
Patient Education

Nystagmus Types: Peripheral, Central, Vertical and Positional Patterns

Nystagmus types guide by Dr. Porwal: peripheral, central, gaze-evoked, vertical and positional patterns in vertigo diagnosis.

4 min read
हरदोई में कैलोरिक टेस्ट - Dr. Prateek Porwal ENT and vertigo guide
Patient Education

Caloric Test Vertigo: Why Warm and Cool Ear Irrigation Is Used

Caloric test vertigo guide by Dr. Porwal: warm/cool ear irrigation, canal weakness, VNG interpretation and when the test helps.

4 min read

Written by Dr. Prateek Porwal

ENT surgeon and vestibular specialist. MBBS (GSVM Kanpur), DNB ENT (Tata Main Hospital, Jamshedpur), CAMVD (Yenepoya University, Mangalore). Developer of the Bangalore manoeuvre for anterior canal BPPV.

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