54 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... with vascular causes ... • Nystagmus: ... positional episodes caused
HINTS Exam - Bidirectional Nystagmus 

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

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... for a PERIPHERAL cause ... Video by Dr. ... #PhysicalExam #Clinical ... Video #Negative #Neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Artery occlusion) Clinical ... Findings: • Nausea ... /nystagmus - Vestibular ... #Wallenbergs #neurology ... #diagnosis
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... for a CENTRAL cause ... Video by Dr. ... #PhysicalExam #Clinical ... #Video #Neurology
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Normal Test ... for a PERIPHERAL cause ... Video by Dr. ... #PhysicalExam #Clinical ... #Video #Neurology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
nerve palsy Caused ... hemorrhage Dr ... #ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... for a PERIPHERAL cause ... Video by Dr. ... #PhysicalExam #Clinical ... #Video #Neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
= Central Cause ... for a CENTRAL cause ... Video by Dr. ... #PhysicalExam #Clinical ... #Video #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... following a finger) • Test ... uncover each eye Dr ... #diagnosis #neurology