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vertical nystagmus = central cause beats in one direction, worse when looking in the direction of the fast phase the fast phase is towards the good earworse when looking away from bad ear and towards good ear (Alexanders Law)if patient’s eyes are centered on nose and you turn to the patient’s right, and it causes catch-up then the right ear is the affected ear Test of Skew vertical ocular misalignment Ocular tilt reaction=skew deviation, head tilt, and ocular counterroll test with alt cover tell pt to look straight ahead cover eyes alternately will see skewed eye move long tract signs- ED Folks conflate peripheral causes of dizziness (Acad Emerg Med 2009;0) BPPV-short lived less than a minute article claims suppressants do not work APV-may be more prevalent in the ED population, continuous dizziness lasting days to weeks. should get steroids and suppressants (H1, Anticholinergics, Promethazines, Benzos) The physical examination should focus on the systems that are involved in postural control and dizziness.


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Rather than the FTSE 100 dropping 20%, dropped 20% and the shares continued to trade at much the same level (in the now-debased currency). Notably, billionaire Peter Hargreaves, who donated £3.2M to the Leave campaign, managed to lose on the order of £400M (: DM over-simplification alert—the market didn't tank, his portfolio lost value).


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TDS is calculated on the premise of a threshold restrict, which is the maximum degree of revenue after which TDS can be deducted from future earnings/funds.