25 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... change • Neurologic ... Positive Hallpike ... Positive head impulse ... differential #diagnosis #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... CENTRAL cause of vertigo ... Clinical #Video #Positive ... #Neurology #Central ... #Vertigo
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... Hallpike test: Positive ... in head-hanging position ... impulse test: Positive ... Labyrinthitis #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... labyrinthitis • Head Position ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Iris 7. ... Ocular Adverse Effects ... Trauma Cornea/Iris ... Uveitis Lens: • Cataracts ... Detachment • Macular
Rheumatoid Arthritis - 2020 ACR-EULAR Classification
≥ 6 of 10 points = definite RA
Joint Involvement:
Arthritis - 2020 ACR-EULAR ... joint) - 5 points Serology ... RF or low positive ... RF or high positive ... Arthritis #diagnosis #EULAR
Iridodonesis and Phacodonesis on Slit Lamp Ocular Examination

Patient with a history of blunt trauma 1 year
Phacodonesis on Slit Lamp Ocular ... phacodonesis, traumatic cataract ... #Phacodonesis #Iris ... #Ocular #PhysicalExam
Migraine with Aura
Diagnostic Criteria (ICHD-3):
A) At least 2 attacks fulfilling criteria B and C:
B) One or
• Brainstem: Vertigo ... aura symptom is positive ... diagnosis #criteria #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
into a supine position ... remains in this position ... remains in this position ... paroxysmal #positional #vertigo ... #neurology #instructions
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... control of the iris ... pilocarpine which if positive ... #physicalexam #neurology