11 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
for a CENTRAL cause ... Nystagmus #HINTS #PhysicalExam ... Clinical #Video #Positive ... #Neurology #Central ... #Vertigo
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
of Vertigo Peripheral ... Causes (Common) ... Benign paroxysmal positional ... vertigo, Méniére ... differential #diagnosis #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... without an obvious cause ... (Wallenberg's syndrome ... Syndrome usually ... #Causes #differential
Brandt Daroff Exercise for Treatment of BPPV
This maneuver resembles the Semont maneuver. Also, this maneuver is
Semont maneuvers ... seconds or until the vertigo ... eases off, whichever ... #vertigo #neurology ... clinical #video #physicalexam
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
"waiter's tip" position ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
Pisa Syndrome (pleurothotonus ... mobilization or supine position ... Caused commonly ... pleurothotonus #PhysicalExam ... #clinical #neurology
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Semont Liberatory ... The Semont maneuver ... #Semont #Liberatory ... #vertigo #neurology ... clinical #video #physicalexam
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Semont Liberatory ... The Semont maneuver ... #Semont #Liberatory ... #vertigo #neurology ... clinical #video #physicalexam
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... the patient was sent ... other potential causes ... ophthalmology #physicalexam ... #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... previous gaze position ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose