21 results
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a central ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA ... #Peripheral #Central
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... TylerLarsenMD #HINTS #physicalexam ... #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Testing #Stroke #physicalexam ... #diagnosis #neurology ... #cva
Toxic Alcohol Ingestion
Alcoholic ketoacidosis - Methanol - Ethylene glycol - Isopropyl Alcohol
 • Metabolic Acidosis
 •
Ketones • AKI / Ca ... vision • Altered mental ... Alcohol #Ingestion #diagnosis ... #toxicology #comparison
Central vs Nephrogenic Diabetes Insipidus - Desmopressin Challenge
Give desmopressin (intranasal, SQ, IV) and monitor UOsm every
Central vs Nephrogenic ... Complete CDI - VA ... BostonChiefs #Central ... Desmopressin #Challenge #diagnosis ... #nephrology #testing
Altered Mental Status - Differential Diagnosis
 • Neurologic: Stroke, Cerebral hypoxia, Cerebral hemorrhage, Seizure, Trauma, TBI,
Altered Mental Status ... - Differential Diagnosis ... • Neurologic: ... Constipation, Delirium - VA ... #Differential #Diagnosis
Ice-pack Test for Myasthenia Gravis - Likelihood Ratio (LR) +24 / -0.16
Ice pack's can be used
VA Joint Chiefs ... Myasthenia #Gravis #physicalexam ... #neurology #diagnosis
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... labyrinthitis) CENTRAL ... #Vertigo #diagnosis ... signs #symptoms #comparison ... #neurology
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
, arthralgias, CV ... fatigue, wt loss; CV ... Emma Ye via BCM IM ... #differential #diagnosis ... #comparison #table
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... stiffness, and altered mental ... Up to 100% - VA ... #Meningitis #diagnosis ... #testing #physicalexam