28 results
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
and vertigo once ... and nystagmus escalates ... and vertigo may ... • Nystagmus and ... #dixhallpike #physicalexam
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... change • Neurologic ... auditory findings BPPV
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
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... torsional nystagmus ... patient with a clinical ... patient with a clinical ... Labyrinthitis #diagnosis #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
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Turn head to 45° and ... The test is positive ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Hoffmann's Sign

Hoffman's sign means upper motor neuron injury.  The Hoffmann's reflex test itself involves loosely
The Hoffmann's reflex ... A positive response ... thumb on the same hand ... #clinical #video ... #neurology #physicalexam
Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
A positive response ... thumb on the same hand ... ’s reflex and finger ... #Sign #PhysicalExam ... #clinical #neurology
Abnormal (Positive) Babinski Sign on Physical Exam

Dorsiflexion of the great toe with or without fanning of
the other toes and ... Babinski #Sign #PhysicalExam ... #clinical #video ... #reflex #pyramidal ... #neurology