10 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central vs ... Peripheral Vertigo ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Neurology
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
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... PERIPHERAL VERTIGO ... vascular causes, such as ... diagnosis #findings #signs ... symptoms #comparison #neurology
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
normal plantar reflex ... A positive test, ... also known as a ... #PhysicalExam ... #Diagnosis #Neurology
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... ulnar nerve palsy, testing ... flat object such as ... clinical #video #neurology ... #physicalexam #
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
patients with AVS ... components: targeted neurologic ... for truncal and gait ... if the cause is peripheral ... #Diagnosis #AVS
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Test if patient ... /flaccid limbs vs ... • Examine for signs ... caseyalbin #PhysicalExam ... #neurology #comatose
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
In-office testing ... such as cogan sign ... and the ice pack test ... Myasthenia #Gravis #PhysicalExam ... ophthalmology #neurology
Hoffmann's sign was originally described as follows: the test is performed by supporting the patient's hand
Hoffmann's sign ... originally described as ... follows: the test ... #PhysicalExam ... #Neurology #Reflex
Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
Examples: - Peripheral ... positive Romberg sign ... neuron disease (ALS ... range of motion, gait ... Evaluation #Geriatrics #Neurology