62 results
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
nose) • Head Position ... worsen with head position ... #diagnosis #findings ... #signs #symptoms ... #comparison #neurology
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
(BPPV) • Latency ... head-hanging position ... in head-hanging position ... testing #findings #signs ... #bppv #vertigo
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Varies • No neurologic ... auditory findings BPPV ... #differential #diagnosis ... #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... Hallpike test: Positive ... consistent with BPPV ... Labyrinthitis #diagnosis ... #neurology #comparison
Sulcus Sign on Shoulder Exam

Positive sulcus sign in a shoulder with multidirectional instability.

Downward force applied at
Sulcus Sign on Shoulder ... Exam Positive ... sulcus sign in ... iamDrHamilton #Sulcus #Sign ... #clinical #video
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Woltman’s sign on ... reflex — Woltman’s sign ... Woltman’s sign, ... #Woltmans #Signs ... Delayed #Clinical #Video
Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
A positive response ... are not useful signs ... Hoffmanns #Reflex #Sign ... PhysicalExam #clinical #neurology ... #UMN #video #Pyramidal
Hoffmann's Sign

Hoffman's sign means upper motor neuron injury.  The Hoffmann's reflex test itself involves loosely
Hoffmann's Sign ... Hoffman's sign ... thumb on the same hand ... #Hoffmanns #Sign ... Abnormal #clinical #video
Abnormal (Positive) Babinski Sign on Physical Exam

Dorsiflexion of the great toe with or without fanning of
) Babinski Sign ... the other toes and ... #Babinski #Sign ... PhysicalExam #clinical #video ... reflex #pyramidal #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... insufficiency (VBI) - Should ... signs or symptoms ... #differential #diagnosis ... #neurology