35 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... Central #Peripheral #Neurology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... test characteristics ... Pronator #Drift #Testing ... #Stroke #physicalexam ... #diagnosis #neurology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: • ... Cortisol, Saliva • Low ... dexamethasone suppression test ... Syndrome #diagnosis #algorithm
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia Diagnostic Algorithm ... - 1° Renal PO4 wasting ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm ... #differential #nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... , hypoglycemia Testing ... ACTH) stimulation test ... Baseline plasma ACTH Low ... insufficiency • Low
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Uric Acid - Low ... Acid → renal salt wasting ... #nephrology #sodium ... #low #uricacid
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... a stand-alone test ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... primary AI - Low ... #Stimulation #Test
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Wing-Beating Tremor ... Characterized by low ... #Wing #Beating # ... clinical #video #neurology ... #copper #physicalexam
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - Algorithm ... specificity for AI (but low ... require Cosyntropin testing ... - Low ACTH is ... Insufficiency #Algorithm