17 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
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis 1) Vertigo ... (severe) 2) Gait ... hearing loss Clinical ... • Benign, self-limited ... vestibular CN VIII • Nystagmus
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
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Differentiating Benign ... Neuritis-Labyrinthitis BENIGN ... and torsional nystagmus ... patient with a clinical ... patient with a clinical
Parkinsonian Gait 

Parkinson's gait is very characteristic: Standing, the patient tends to tilt the trunk forward,
Parkinsonian Gait ... Parkinson's gait ... trunk forward, being ... #Neurology #PhysicalExam ... #clinical #video
Choreiform Gait Demonstration

Associated with various pathologies of the nervous system, the most common being Sydenham's Chorea
Choreiform Gait ... the most common being ... Choreiform #Chorea #Gait ... #Neurology #PhysicalExam ... #clinical #video
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
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
Maneuver #BPPV #Benign ... paroxysmal #positional #vertigo ... #neurology #instructions ... #clinical #video ... #physicalexam #
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% ... diagnosis #triad #neurology