10 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
HINTS Exam - Bidirectional ... Nystagmus In ... #HINTS #PhysicalExam ... Video #Positive #Neurology ... #Central #Vertigo
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... Differentiating Central ... Impulse Test Nystagmus ... #Exam #PhysicalExam ... #Peripheral #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... Central from Peripheral ... examiners nose • Nystagmus ... #physicalexam # ... Vertigo #diagnosis #neurology
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 ... #Testing #HIT #HINTS
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
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
common of the central ... follows Alexander's Law ... The differential ... Ophthalmology #Neurology ... Video #Ocular #PhysicalExam
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
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
Globi Pallidi T2 Low ... Striatopathy "Butterfly Wing ... Heroin Inhalation Central ... Disorders #Clinical #Differential ... Diagnosis #Radiology #Neurology
Causes Abnormal Urine Color - Differential Diagnosis
Turbid White Urine (Albinuria):
 • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Urine Color - Differential ... Indicanuria, Bile vesico-enteral ... Chlorophyl breath mints ... discoloration #Differential ... #Diagnosis #nephrology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... caseyalbin #PhysicalExam ... #neurology #comatose