65 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Vertigo Head ... Test of Skew ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Neurology
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Woltman’s sign on ... — Woltman’s sign ... Woltman’s sign, ... #Woltmans #Signs ... #PhysicalExam #
Positive Hoffmann's sign (finger flexor reflex) in a patient with Multiple Sclerosis

The Hoffmann's reflex test itself
Positive Hoffmann's sign ... test itself involves ... are not useful signs ... to cerebellar signs ... Clinical #Video #Signs
Hoffmann's Sign

Hoffman's sign means upper motor neuron injury.  The Hoffmann's reflex test itself involves loosely
Hoffmann's Sign ... Hoffman's sign ... test itself involves ... #Hoffmanns #Sign ... #physicalexam
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... with repeated testing ... #dixhallpike #physicalexam ... #testing #findings ... #signs #bppv #vertigo
Hoffmann's Reflex on Physical Exam
The Hoffmann's reflex itself involves loosely holding the middle finger and flicking
Hoffmann's Reflex ... thumb on the same hand ... are not useful signs ... #Sign #PhysicalExam ... #clinical #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... and Central Vertigo ... PERIPHERAL VERTIGO ... diagnosis #findings #signs ... symptoms #comparison #neurology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... extensor weakness - Sign ... test characteristics ... #Stroke #physicalexam ... #diagnosis #neurology
Myasthenia Gravis
Signs, Symptoms and Testing - Likelihood Ratios
Does this patient have myasthenia gravis?
JAMA. 2005 Apr 20;293(15):1906-14.
Myasthenia Gravis Signs ... , Symptoms and Testing ... - Ice Test - ... LikelihoodRatios #PhysicalExam ... #Testing
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Vertigo • Head ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #Vertigo #diagnosis ... #neurology #bppv