134 results
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... with a peripheral cause ... cause of AVS. ... a stand-alone test ... #PhysicalExam #Neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... = Central Cause ... This patient as ... cause of vertigo ... Clinical #Video #Neurology
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #Peripheral #Neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... worrisome for a CENTRAL ... cause of vertigo ... Clinical #Video #Neurology ... #Vertigo #Central
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... may be present Central ... with vascular causes ... positional episodes caused ... or supine roll test
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... grip weakness caused ... flat object such as ... clinical #video #neurology ... physicalexam #msk #orthopedics
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... Causes of Vertigo ... Peripheral Causes ... often classified as ... #diagnosis #neurology
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
capitate ("apple") should ... tea cup") which should ... Management: Pain control ... Sugar tong • Ortho ... Disposition: Pending orthopedic
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... Management: Pain control ... PIP joint • Ortho ... Discharge with orthpedic ... Management #Hand #Orthopedics
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
all carpal bones should ... all carpal bones should ... Management: Pain control ... Thumb spica • Ortho ... follow-up with orthopedics