16 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... Bidirectional #Nystagmus ... #HINTS #PhysicalExam ... #Clinical #Video ... #Positive #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... Unidirectional #Nystagmus ... #HINTS #PhysicalExam ... #Clinical #Video ... #Negative #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #diagnosis #neurology ... bppv #comparison #table
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis 1) Vertigo ... (severe) 2) Gait ... hearing loss Clinical ... vestibular CN VIII • Nystagmus ... Labyrinthitis #Diagnosis
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
B1) Deficiency Clinical ... Diagnosis - Caine ... abnormalities (eg nystagmus ... dysfunction and gait ... #criteria #neurology
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Congenital Nystagmus ... Diagnosis: Congenital ... nystagmus. ... #PhysicalExam # ... ocular #clinical
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Artery occlusion) Clinical ... /nystagmus - Vestibular ... #Wallenbergs #neurology ... #diagnosis
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
and torsional nystagmus ... patient with a clinical ... patient with a clinical ... Labyrinthitis #diagnosis ... #neurology #comparison
Bilateral Internuclear Ophthalmoplegia (BINO)

Bilateral Internuclear ophthalmoplegia in chronic Multiple sclerosis. Note the adduction lag in the
Ophthalmoplegia (BINO ... Abducting eye nystagmus ... #ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
Encephalopathy CLINICAL ... DYSFUNCTION (29%) Nystagmus ... Conjugate Gaze Palsy, INO ... GAIT ATAXIA (23% ... #triad #neurology