15 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
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
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
the examination table ... Allow any nystagmus ... #clinical #video ... #physicalexam # ... management
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
the examination table ... Allow any nystagmus ... #clinical #video ... #physicalexam # ... management
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
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
20° over end of table ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
paroxysmal #positional #vertigo ... #neurology #instructions ... #clinical #video ... #physicalexam # ... management
Foster Maneuver (half somersault maneuver) for Treatment of BPPV
Some patient find this maneuver more easier with
Wait for any vertigo ... #neurology #instructions ... #clinical #video ... #physicalexam # ... management