BPPV in 3 Minutes: The NPTE Cheat Code

BPPV — NPTE Cheat Sheet What it is: Otoconia displaced into a semicircular canal (ear crystals where they shouldn’t be). Classic signs: Brief vertigo (<60 sec), triggered by position changes, upbeating torsional nystagmus, no hearing loss. Rule-in test: Dix-Hallpike. Rule-out clues: Long-lasting vertigo, neuro deficits, hearing symptoms → think neuritis/Ménière’s. NPTE trap: Nystagmus >60 seconds…