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/Title (\200 Predisposing factors of BPPV:)
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endobj
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/Title (\200 Other ear disease; Meniere\220s syndrome [)
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/Title (\200 Family history [)
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/Title (\200 Family history [)
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/Title ()
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/Title ()
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/Title ()
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/Title (Pharmacologic treatment)
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/Title (Antiemetic therapy)
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/Title (Antiemetic therapy)
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/Title (Antiemetic therapy)
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endobj
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/Title (Promethazine)
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/Title (Promethazine)
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endobj
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<<
/Title (Standard dosage)
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endobj
181 0 obj
<<
/Title (Promethazine is administered orally at 12.5 mg, 25 mg, or 50 mg prior to\
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endobj
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<<
/Title (Contraindications)
/Dest /G1113502
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endobj
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<<
/Title (Should not be used in those patients with adverse reactions to phenothia\
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endobj
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<<
/Title (Main drug interactions)
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endobj
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<<
/Title (May increase sedative action of other central nervous system depressants\
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endobj
186 0 obj
<<
/Title (Main side effects)
/Dest /G1113522
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>>
endobj
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<<
/Title (Sedation, and dry mouth. Rarely, extrapyramidal motor manifestations \(o\
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>>
endobj
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<<
/Title (Special points)
/Dest /G1113532
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endobj
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<<
/Title (Vestibular suppressants do not affect the vertigo associated with this c\
ondition [)
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endobj
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<<
/Title (Cost/cost effectiveness)
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endobj
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<<
/Title (Only few doses should be required, and this medication is available in a\
n inexpensive, generic form.)
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endobj
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/Title ()
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/Title ()
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/Title ()
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/Title (Interventional procedures)
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endobj
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/Title (\200 Use of a canalith repositioning procedures \(CRPs\), such as the Ep\
ley and Semont maneuvers, depe...)
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endobj
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/Title (\200 Use of a canalith repositioning procedures \(CRPs\), such as the Ep\
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/Dest /G1114627
/Parent 196 0 R
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endobj
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<<
/Title (\200 Use of a canalith repositioning procedures \(CRPs\), such as the Ep\
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/Dest /G1114627
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>>
endobj
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/Title (Dix-Hallpike test for posterior semicircular canal BPPV)
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endobj
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/Title (Dix-Hallpike test for posterior semicircular canal BPPV)
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>>
endobj
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<<
/Title (Diagnosis of BPPV affecting the PSC is made by observing the typical upb\
eat and torsional nystagm...)
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endobj
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<<
/Title (Ideally, fixation is removed by monitoring eye movements using either an\
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/Title ()
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/Title ()
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/Title ()
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/Title ()
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/Title ()
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/Title ()
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endobj
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<<
/Title (Figure 2.\023 The Epley maneuver. A, Turn the head 45 degrees toward the\
affected ear. B, Deliberate...)
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endobj
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<<
/Title (Figure 2.\023 The Epley maneuver.)
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>>
endobj
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<<
/Title (An upbeat-torsional nystagmus will be generated by the vestibular ocular\
reflex \(VOR\) as the pati...)
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endobj
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<<
/Title (Because the quick phases of nystagmus are noted clinically, the actions \
of the superior rectus an...)
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>>
endobj
213 0 obj
<<
/Title (If horizontal nystagmus is seen in the Dix-Hallpike, then positional tes\
ting for horizontal canal...)
/Dest /G1117099
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>>
endobj
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<<
/Title (Frequently patients with BPPV have a spontaneous recovery, and the clini\
cian may choose to observ...)
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>>
endobj
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<<
/Title (Paroxysmal positional nystagmus has been reported in those patients with\
posterior fossa lesions....)
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/Parent 199 0 R
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>>
endobj
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<<
/Title (The Epley maneuver)
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endobj
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<<
/Title (The Epley maneuver)
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>>
endobj
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<<
/Title (Standard procedure)
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>>
endobj
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<<
/Title (Using movements of the head and body \()
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>>
endobj
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<<
/Title (Contraindications)
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>>
endobj
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<<
/Title (Severe neck disease, high-grade carotid stenosis, and unstable heart dis\
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>>
endobj
222 0 obj
<<
/Title (Complications)
/Dest /G1117958
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/Next 223 0 R
>>
endobj
223 0 obj
<<
/Title (When moving material out of the posterior canal, there is a chance that \
it will relocate into ano...)
/Dest /G1117962
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/Prev 222 0 R
/Next 224 0 R
>>
endobj
224 0 obj
<<
/Title (Main side effects)
/Dest /G1117976
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/Next 225 0 R
>>
endobj
225 0 obj
<<
/Title (Patients may become nauseated and vomit after Dix-Hallpike maneuvers, an\
d may not tolerate a CRP....)
/Dest /G1117980
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/Next 226 0 R
>>
endobj
226 0 obj
<<
/Title ()
/Dest /G1117990
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endobj
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<<
/Title ()
/Dest /G1117990
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endobj
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<<
/Title ()
/Dest /G1117990
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endobj
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<<
/Title ()
/Dest /XXX
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>>
endobj
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<<
/Title (Figure 3.\023 Treatment for BPPV emanating from the left posterior semic\
ircular canal begins with th...)
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endobj
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<<
/Title (Figure 3.\023 Treatment for BPPV emanating from the left posterior semic\
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/Dest /G1117999
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>>
endobj
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<<
/Title (Special points)
/Dest /G1118019
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>>
endobj
233 0 obj
<<
/Title (Factors for success include use of infrared \(IR\) video goggles for mon\
itoring exactly what is goi...)
/Dest /G1118023
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/Next 234 0 R
>>
endobj
234 0 obj
<<
/Title (Cost/cost effectiveness)
/Dest /G1118029
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/Next 235 0 R
>>
endobj
235 0 obj
<<
/Title (Treatment is free, in that this maneuver may be included as a part of th\
e clinician\220s routine exa...)
/Dest /G1118033
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>>
endobj
236 0 obj
<<
/Title (Liberatory \(Semont\) maneuver)
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>>
endobj
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<<
/Title (Liberatory \(Semont\) maneuver)
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>>
endobj
238 0 obj
<<
/Title (Standard procedure)
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>>
endobj
239 0 obj
<<
/Title (This maneuver was originally designed with the intent to dislodge partic\
les stuck to the cupula, ...)
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>>
endobj
240 0 obj
<<
/Title (Contraindications)
/Dest /G1118095
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/Next 241 0 R
>>
endobj
241 0 obj
<<
/Title (This maneuver requires a brisk movement of the patient, and any orthoped\
ic condition that limits ...)
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/Next 242 0 R
>>
endobj
242 0 obj
<<
/Title (Complications)
/Dest /G1118105
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>>
endobj
243 0 obj
<<
/Title (When moving material out of the posterior canal, there is a chance that \
it will relocate into ano...)
/Dest /G1118109
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/Prev 242 0 R
/Next 244 0 R
>>
endobj
244 0 obj
<<
/Title (Special points)
/Dest /G1118123
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/Next 245 0 R
>>
endobj
245 0 obj
<<
/Title (Factors for success include use of IR video goggles for monitoring exact\
ly what is going on throu...)
/Dest /G1118127
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/Prev 244 0 R
/Next 246 0 R
>>
endobj
246 0 obj
<<
/Title (Cost/cost effectiveness)
/Dest /G1118133
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/Prev 245 0 R
/Next 247 0 R
>>
endobj
247 0 obj
<<
/Title (Treatment is free, in that this maneuver may be included as a part of th\
e clinician\220s routine exa...)
/Dest /G1118137
/Parent 236 0 R
/Prev 246 0 R
>>
endobj
248 0 obj
<<
/Title (Positional test for horizontal canal BPPV)
/Dest /G1118165
/Parent 196 0 R
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/First 249 0 R
/Last 265 0 R
/Count -17
>>
endobj
249 0 obj
<<
/Title (Positional test for horizontal canal BPPV)
/Dest /G1118165
/Parent 248 0 R
/Next 250 0 R
>>
endobj
250 0 obj
<<
/Title (The diagnostic maneuver used to elicit BPPV emanating from a horizontal \
canal is the same used to...)
/Dest /G1118169
/Parent 248 0 R
/Prev 249 0 R
/Next 251 0 R
>>
endobj
251 0 obj
<<
/Title (Contrary to PSC BPPV, when the horizontal canal is affected there may be\
no latency, responses do...)
/Dest /G1118178
/Parent 248 0 R
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/Next 252 0 R
>>
endobj
252 0 obj
<<
/Title (When horizontal canal BPPV is due to canalithiasis, the nystagmus is geo\
\004tropic, and stronger whe...)
/Dest /G1118187
/Parent 248 0 R
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/Next 253 0 R
>>
endobj
253 0 obj
<<
/Title (Cupulolithiasis, in which debris is adherent to the cupula of the HSC, h\
as been convincingly, tho...)
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/Next 254 0 R
>>
endobj
254 0 obj
<<
/Title (Standard procedure)
/Dest /G1118206
/Parent 248 0 R
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/Next 255 0 R
>>
endobj
255 0 obj
<<
/Title (The treatment for HSC BPPV is a maneuver in which the head is first pitc\
hed chin down to bring th...)
/Dest /G1118210
/Parent 248 0 R
/Prev 254 0 R
/Next 256 0 R
>>
endobj
256 0 obj
<<
/Title (Contraindications)
/Dest /G1118216
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/Next 257 0 R
>>
endobj
257 0 obj
<<
/Title (None reported.)
/Dest /G1118221
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/Next 258 0 R
>>
endobj
258 0 obj
<<
/Title (Complications)
/Dest /G1118226
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/Next 259 0 R
>>
endobj
259 0 obj
<<
/Title (Nausea, vomiting, and vertigo during the procedure.)
/Dest /G1118231
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/Prev 258 0 R
/Next 260 0 R
>>
endobj
260 0 obj
<<
/Title (Special points)
/Dest /G1118236
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/Next 261 0 R
>>
endobj
261 0 obj
<<
/Title (Factors for success include use of IR video goggles for monitoring exact\
ly what is going on throu...)
/Dest /G1118240
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/Prev 260 0 R
/Next 262 0 R
>>
endobj
262 0 obj
<<
/Title (Cost/cost effectiveness)
/Dest /G1118246
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>>
endobj
263 0 obj
<<
/Title (Treatment is free, in that this maneuver may be included as a part of th\
e clinician\220s routine exa...)
/Dest /G1118250
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>>
endobj
264 0 obj
<<
/Title (Post-treatment instruction)
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>>
endobj
265 0 obj
<<
/Title (In the original descriptions of both the liberatory and repositioning pr\
ocedures, patients were i...)
/Dest /G1118264
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/Prev 264 0 R
>>
endobj
266 0 obj
<<
/Title ()
/Dest /G1114943
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/Next 270 0 R
/First 267 0 R
/Last 267 0 R
/Count -1
>>
endobj
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<<
/Title ()
/Dest /G1114943
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endobj
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<<
/Title ()
/Dest /G1114943
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>>
endobj
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<<
/Title (Surgery)
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>>
endobj
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<<
/Title (Semicircular canal occlusion and singular neurectomy)
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>>
endobj
271 0 obj
<<
/Title (Semicircular canal occlusion and singular neurectomy)
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>>
endobj
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<<
/Title (Semicircular canal occlusion and singular neurectomy)
/Dest /G1114952
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>>
endobj
273 0 obj
<<
/Title (These procedures are rarely required, and are reserved for treatment-res\
istant cases. Singular ne...)
/Dest /G1113991
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>>
endobj
274 0 obj
<<
/Title (Hearing loss is a risk with any surgical approach to the labyrinth, and \
has transiently occurred ...)
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/Prev 273 0 R
>>
endobj
275 0 obj
<<
/Title ()
/Dest /G1114996
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endobj
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<<
/Title ()
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endobj
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<<
/Title ()
/Dest /G1114996
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endobj
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<<
/Title (Assistive devices)
/Dest /G1114996
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>>
endobj
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<<
/Title (Oscillators)
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endobj
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<<
/Title (Oscillators)
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>>
endobj
281 0 obj
<<
/Title (Oscillators)
/Dest /G1115019
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>>
endobj
282 0 obj
<<
/Title (Several authors have reported the use of oscillation over the mastoid bo\
ne during the CRP, employ...)
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/Prev 281 0 R
/Next 283 0 R
>>
endobj
283 0 obj
<<
/Title ()
/Dest /G1117309
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>>
endobj
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<<
/Title ()
/Dest /G1117309
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endobj
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<<
/Title ()
/Dest /G1117309
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endobj
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<<
/Title ()
/Dest /XXX
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>>
endobj
287 0 obj
<<
/Title (Figure 4.\023 Brandt-Daroff exercises begin by sitting the patient uprig\
ht on the edge of the bed, w...)
/Dest /G1117318
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/Last 288 0 R
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>>
endobj
288 0 obj
<<
/Title (Figure 4.\023 Brandt-Daroff exercises begin by sitting the patient uprig\
ht on the edge of the bed, w...)
/Dest /G1117318
/Parent 287 0 R
>>
endobj
289 0 obj
<<
/Title (Rotator devices)
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endobj
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<<
/Title (Rotator devices)
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>>
endobj
291 0 obj
<<
/Title (Various mechanical devices to perform particle repositioning, including \
a chair capable of rotati...)
/Dest /G1116818
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/Prev 290 0 R
>>
endobj
292 0 obj
<<
/Title ()
/Dest /G1115083
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/Next 296 0 R
/First 293 0 R
/Last 293 0 R
/Count -1
>>
endobj
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<<
/Title ()
/Dest /G1115083
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>>
endobj
294 0 obj
<<
/Title ()
/Dest /G1115083
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/First 295 0 R
/Last 295 0 R
/Count -1
>>
endobj
295 0 obj
<<
/Title (Physical therapy and exercise)
/Dest /G1115083
/Parent 294 0 R
>>
endobj
296 0 obj
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