43 results
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... following a finger) • Test ... uncover each eye Dr ... Peripheral #Vertigo #diagnosis ... #neurology #bppv
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... myoclonic movements, tremors ... Dr. ... #PhysicalExam #neurology ... #comatose #diagnosis
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
B1) Deficiency Clinical ... abnormalities (eg nystagmus ... oculomotor dysfunction and ... Dr. ... #criteria #neurology
Vertical Nystagmus and Ophthalmoplegia on Physical Exam in Wernicke Encephalopathy

Dr. Bruno Farnetano @bruno.farnetano

#Vertical #Nystagmus #Ophthalmoplegia #Wernicke
and Ophthalmoplegia ... Encephalopathy Dr ... #PhysicalExam #clinical ... #ophthalmology ... #neurology
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
the pupillary reflex ... very sensitive diagnostic ... Dr. ... Pupillary #Defect #Neurology ... #Clinical #Video
Primary Downbeat Nystagmus on Ocular Examination

Primary downbeat nystagmus, most evident on looking down and out .
on looking down and ... inconclusive Dr ... #Ocular #clinical ... #physicalexam #neurology ... #ophthalmology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
torsional nystagmus ... patient with a clinical ... patient with a clinical ... Labyrinthitis #diagnosis ... #neurology #comparison
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... trauma/orbital tumor ... light By Dr. ... #PhysicalExam #neurology ... #ophthalmology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
by convergence and ... and rebound nystagmus ... Generally, patients are ... #Vertical #Ophthalmology ... #Neurology #Clinical
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... the ice pack test ... have a thymic tumor ... #video #ophthalmology ... #neurology