39 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
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
It has been validated ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing
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
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... present Central ... vascular causes • Nystagmus ... Vertigo #Algorithm #differential ... #diagnosis #neurology
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
BEE Syndromes - ... attributable to central ... Neurosarcoidosis #BEE ... #Syndromes #neurology ... #inflammatory #differential
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... upbeat (fast phase beating ... circulation TIA • Nystagmus ... symptoms #comparison #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
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Tea and Toast Syndrome ... , Beer Potomania ... - Low solute diet ... Algorithm #causes #nephrology