36 results
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 ... patient with vertigo symptoms ... for a CENTRAL cause ... #HINTS #PhysicalExam ... Video #Positive #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... patient with vertigo symptoms ... for a PERIPHERAL cause ... #HINTS #PhysicalExam ... Video #Negative #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
with vascular causes ... • Nystagmus: ... No auditory symptoms ... Long symptom-free ... differential #diagnosis #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
vomiting, auditory symptoms ... unidirectonal nystagmus ... symptoms/signs, ... bidirectional nystagmus ... Dizziness #Vertigo #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... with a central cause ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... patient with vertigo symptoms ... for a CENTRAL cause ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
Hoffmann's Sign

Hoffman's sign means upper motor neuron injury.  The Hoffmann's reflex test itself involves loosely
Hoffmann's Sign ... upper motor neuron injury ... Hoffmann's reflex test ... clinical #video #neurology ... #physicalexam
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Normal Test ... patient with vertigo symptoms ... for a PERIPHERAL cause ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... patient with vertigo symptoms ... for a PERIPHERAL cause ... #HINTS #PhysicalExam ... Clinical #Video #Neurology