18 results
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... Benign Paroxysmal Positional ... in head-hanging position ... toward the downward ear ... #dixhallpike #physicalexam
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... worsen with head position ... • Short-lived, positional ... or supine roll test ... #Algorithm #differential
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... The test is positive ... toward the affected ear ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... 45° towards the test ... throughout the test ... #Dix #Hallpike ... Instructions #Diagnosis #neurology
Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
side in this 70-year-old ... the 50-second test ... to maintain the position ... Drift #Pyramidal #PhysicalExam ... clinical #video #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
of the affected ear ... into a supine position ... that the opposite ear ... #vertigo #neurology ... clinical #video #physicalexam
Brandt Daroff Exercise for Treatment of BPPV
This maneuver resembles the Semont maneuver. Also, this maneuver is
upright, seated position ... of the affected ear ... seconds or until the vertigo ... #vertigo #neurology ... clinical #video #physicalexam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... previous gaze position ... If ok with ICU team ... caseyalbin #PhysicalExam ... #neurology #comatose
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... fulminans - DIC ... Fecal occult blood test ... • Serology for ... #dermatology #physicalexam
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
skin injury) • Neurologic ... syndrome (Clinical Dx ... is a skin prick test ... Behcet disease) Differential ... Giant retinal tears