102 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Sudden, severe, can ... findings BPPV • Short-lived ... #differential #diagnosis ... #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... insufficiency (VBI) - Should ... with significant neurologic ... #differential #diagnosis ... #neurology
Shoulder Effusion Ballottement on Physical Examination

Shoulder effusion. You can ballot and see fluid return at posterior
Shoulder Effusion ... Examination Shoulder ... You can ballot and ... #glenohumeral #PhysicalExam ... #msk #sports #orthopedics
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... avoid fixation on an ... TylerLarsenMD #HINTS #physicalexam ... Central #Peripheral #Vertigo ... #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Mild in most but can ... continuous) but can ... little change but can ... #diagnosis #findings ... symptoms #comparison #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Central Causes of Vertigo ... Vestibulocochlear Nerve (CN ... as a "central vertigo ... #differential #diagnosis ... #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Nausea/vomiting/vertigo ... Vestibular nucleus (CN ... #Wallenbergs #neurology ... #diagnosis
Crank Test for Labral Tear of the Shoulder

To perform the Crank Test, fully abduct the shoulder
Labral Tear of the Shoulder ... fully abduct the shoulder ... and provide an ... #Labral #Tear #PhysicalExam ... clinical #video #sports
Evidence supports the Ottawa ankle rules as an accurate instrument for excluding fractures of the ankle
Evidence supports ... ankle rules as an ... specificity, and its use should ... #Diagnosis #Management ... #EM #Ortho #Sports
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
evaluation confirmed a diagnosis ... deep-tendon reflex, is a neurologic ... delayed relaxation can ... Woltmans #Signs #PhysicalExam ... Clinical #Video #Neurology