36 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central vs Peripheral ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Central #Peripheral ... #Neurology
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
polyarthritis • Pulmonary ... exertion • Neurologic ... Bell's palsy, peripheral ... nodules, lupus pernio ... #Sarcoidosis #Diagnosis
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a peripheral ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... Posterior #CVA #Peripheral ... #HeadImpulse #Testing
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Nystagmus - Left-beating ... reassuring for a PERIPHERAL ... Nystagmus #HINTS #PhysicalExam ... Video #Negative #Neurology ... #Peripheral #Vertigo
Guide for testing and documenting neurological function in kids with upper limb fractures 

Rock - Median
Guide for testing ... drsarahedwards #Diagnosis ... Pediatrics #Hand #Peripheral ... #Nerves #PhysicalExam ... Median #Ulnar #Testing
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... celiac disease with serology ... biopsy only if serology ... Non-invasive testing ... Evaluation #workup #diagnosis
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Hematuria, Hemoptysis, Peripheral ... Differential Diagnosis ... Disease-specific testing ... #differential #diagnosis ... #nephrology
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... : Non-specific Kernig ... #Meningitis #diagnosis ... #testing #physicalexam ... #Specificity #diagnosis
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central from Peripheral ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... #Vertigo #diagnosis ... #neurology #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... Central Vertigo PERIPHERAL ... Findings: Rarely #Peripheral ... Central #Vertigo #diagnosis ... symptoms #comparison #neurology