35 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... 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 ... patient with normal exam ... test characteristics ... #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
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
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Varies • No neurologic ... or supine roll test ... #Algorithm #differential ... #diagnosis #neurology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Hyperreflexia #Testing ... #Causes #differential ... #diagnosis #table ... #neurology
Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
Drift) on Physical Exam ... Testing showed ... the 50-second test ... clinical #video #neurology ... #cva #stroke
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... from Peripheral Vertigo ... following a finger) • Test ... Central #Peripheral #Vertigo ... #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
continuous and lasting ... upbeat (fast phase beating ... can be severe in stroke ... #diagnosis #findings ... symptoms #comparison #neurology
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
Dizziness - Differential ... Diagnosis Framework ... Vertigo: • Peripheral ... Disease • Central: Stroke ... #Diagnosis #neurology