19 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Neurology
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Wing-Beating Tremor ... Characterized by low ... #Wing #Beating # ... clinical #video #neurology ... #copper #physicalexam
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Wing-Beating Tremor ... Characterized by low ... #Wing #Beating # ... clinical #video #neurology ... #copper #physicalexam
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a central ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... may be present Central ... vascular causes • Nystagmus ... Vertigo #Algorithm #differential ... #diagnosis #neurology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
common of the central ... The differential ... for down-beating ... Ophthalmology #Neurology ... Video #Ocular #PhysicalExam
Wing-Beating Tremor on Physical Exam

Seen in Wilson's disease, caused by copper toxicity (low ceruloplasmin)

#Wing #Beating #Tremor
Wing-Beating Tremor ... copper toxicity (low ... #Beating #Tremor ... #PhysicalExam # ... clinical #video #neurology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - Differential ... • Euvolemic (Low ... Diabetes insipidus (central ... , Cushing syndrome ... Workup #Algorithm #nephrology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
unilateral; • Slow ... Holmes-Adie Syndrome ... Young females Differential ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Wing-Beating Tremor ... Characterized by low ... #Wing #Beating # ... clinical #video #neurology ... #copper #physicalexam