54 results
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
Diagnostic Algorithm ... additional symptoms (eg ... speech abnormality, etc ... Postictal state #Algorithm ... #management #Neurology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... nerve palsy Caused ... #ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... for a CENTRAL cause ... #HINTS #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 ... #HINTS #PhysicalExam ... #Clinical #Video ... #Negative #Neurology
Epileptic Seizure caught during EEG

#Epilepsy #Seizure #EEG #electroencephalogram #clinical #video #neurology #physicalexam
Epileptic Seizure ... caught during EEG ... #EEG #electroencephalogram ... #clinical #video ... #neurology #physicalexam
Absence Seizure caught during EEG

There is a brief loss of consciousness with blank stare in the
Absence Seizure ... caught during EEG ... #EEG #electroencephalogram ... #clinical #video ... #neurology #physicalexam
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Differential Diagnosis Algorithm ... Polyuria scheme) e.g ... Hypernatremia #Nephrology ... #Causes
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
Remote Symptomatic Cause ... Remote Symptomatic Cause ... abnormalities on EEG ... Initiation #start #Algorithm ... #Neurology #SHINE
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
B1) Deficiency Clinical ... abnormalities (eg ... nystagmus) - Cerebellar ... diagnosis #criteria #neurology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Differential Diagnosis Algorithm ... symptoms and signs (e.g ... fever, myalgia), seizures ... CNS infection (e.g ... #neurology #PHANTOMS