42 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Head Impulse Test ... Nystagmus Test ... Animation by Dr ... #PhysicalExam #Testing ... #Peripheral #Neurology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... extensor weakness - Sign ... test characteristics ... #physicalexam #diagnosis ... #neurology #cva
Effects of Strokes by Location - Anterior vs Posterior Localization

Anterior Circulation 
 - MCA 
 -
Strokes #Syndromes #CVA ... Territory #Symptoms #Signs ... Localization #Effects #Neurology ... #Diagnosis #Table ... Review in Clinical Neurology
Vertigo Differential Diagnosis and Management Algorithm
Vertigo: Symptom of illusory movement because of asymmetry in the vestibular
Vertigo Differential ... Diagnosis and Management ... vestibular system due ... #Diagnosis #Management ... #Algorithm #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA ... #HeadImpulse #Testing
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... following a finger) • Test ... uncover each eye Dr ... Central #Peripheral #Vertigo ... #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
continuous and lasting ... upbeat (fast phase beating ... #diagnosis #findings ... #signs #symptoms ... #comparison #neurology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... disease with serology ... biopsy only if serology ... Non-invasive testing ... change medical management
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
with significant neurologic ... attacks with varying neurologic ... signs or symptoms ... #differential #diagnosis ... #neurology
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Evaluation and Management ... collaboration with Dr ... #Algorithm #diagnosis ... #differential #neurology ... #CVA