6 results
Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
A positive response ... A positive Hoffmann ... #Sign #PhysicalExam ... #clinical #neurology ... #UMN #video #Pyramidal
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... can be severe in stroke ... diagnosis #findings #signs ... symptoms #comparison #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo Peripheral ... Varies • No neurologic ... may be present Central ... auditory findings BPPV ... episodes caused by stray
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
Hoffman's sign. ... hand. 3) Now strike ... #Reflex #Positive ... clinical #video #neurology ... #PhysicalExam
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
Vertigo: • Peripheral ... : BPPV, Vestibular ... Meniere's Disease • Central ... : Stroke, CNS lesion ... dysfunction, Meds • Reflex
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Impairment: • Acute stroke ... lesions of the central ... Lesions Of The Peripheral ... Gravis - Lack of UMN ... /LMN signs - Lack