26 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #PhysicalExam #Testing ... #Peripheral #Neurology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... for Stroke Subtle ... test characteristics ... #Stroke #physicalexam ... #diagnosis #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
- Vascular - Stroke ... Eric Strong @DrEricStrong ... - Strong Medicine ... Central #Causes #differential ... #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... Positive Hallpike test ... or supine roll test ... #Algorithm #differential ... #diagnosis #neurology
Differential Diagnosis of Transient Ischemic Attack and Stroke
 - TIA/stroke 
 - Seizure 
 - Hypoglycemia/hyperglycemia
Differential Diagnosis ... - TIA/stroke ... Benign paroxysmal vertigo ... Mimics #CVA #TIA #Differential ... #Diagnosis #Neurology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... - Strong Medicine ... Hyperreflexia #Testing ... #Causes #differential ... diagnosis #table #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Intermittent episodes lasting ... continuous and lasting ... upbeat (fast phase beating ... can be severe in stroke ... symptoms #comparison #neurology
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... Eric Strong @DrEricStrong ... - Strong Medicine ... Algorithm #dizzy #differential ... #diagnosis #neurology
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
Dizziness - Differential ... Vertigo: • Peripheral ... Disease • Central: Stroke ... Posterior Cords, Prior strokes ... #Diagnosis #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
usually lasting ... with significant neurologic ... attacks with varying neurologic ... #Causes #differential ... #diagnosis #neurology