41 results
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
left 6th nerve palsy ... Caused by a ... #ocular #physicalexam ... #clinical #video ... #neurology #ophthalmology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... patient with vertigo symptoms ... cause of vertigo ... #PhysicalExam #Clinical ... Video #Negative #Neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... patient with vertigo symptoms ... cause of vertigo ... #PhysicalExam #Clinical ... Video #Positive #Neurology
Causes of Facial Weakness - Differential Diagnosis Algorithm
Forehead Sparing = Central cause
  - Most commonly
Forehead Sparing = Central ... Forehead involved = Peripheral ... of facial nerve palsy ... Unilateral: Bell's Palsy ... #neurology #sparing
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Causes of Dizziness ... Rotary Movement Peripheral ... Bone Fracture Central ... symptoms/signs, ... Dizziness #Vertigo #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo Peripheral ... may be present Central ... with vascular causes ... • Nystagmus: ... differential #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a peripheral ... cause of AVS and ... cause of AVS. ... with an AVS with nystagmus ... #PhysicalExam #Neurology
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
inflammatory cells) Clinical ... exertion • Neurologic ... : Bell's palsy, ... peripheral neuropathies ... Sarcoidosis #Diagnosis #Symptoms
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... with vascular causes ... circulation TIA • Nystagmus ... findings #signs #symptoms ... #comparison #neurology
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
patient with vertigo symptoms ... cause of vertigo ... #PhysicalExam #Clinical ... #Video #Neurology ... #Vertigo #Peripheral