11 results
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Test of Skew (Abnormal ... worrisome for a CENTRAL ... cause of vertigo ... Clinical #Video #Neurology ... #Vertigo #Central
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
= Central Cause ... This patient as ... cause of vertigo ... Clinical #Video #Neurology ... #Vertigo #Central
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... result is positive (abnormal ... with a peripheral cause ... cause of AVS. ... #PhysicalExam #Neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Causes of Vertigo ... often classified as ... a "central vertigo ... #Causes #differential ... #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
may be present Central ... with vascular causes ... positional episodes caused ... #Algorithm #differential ... #diagnosis #neurology
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
coagulopathy Pregnancy test ... possible ectopic vs ... pregnancy related cause ... • IV conjugated ... long-term therapy #AUB
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
head-impulse, nystagmus, test ... the dizziness as ... of dizziness or vertigo ... The approach uses ... Dizziness #Algorithm #Differential
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... /flaccid limbs vs ... Sternal rub ... Casey Albin MD @ ... #PhysicalExam #neurology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... Arboviruses: - West ... /l is regarded as ... CNS #Infections #differential ... #diagnosis #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ab to AChR blocks ... life-threatening Differential ... Generalized fatigue - ALS ... Bedside: ice pack test ... /Edrophonium test