22 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... worrisome for a CENTRAL ... #HINTS #PhysicalExam ... Video #Positive #Neurology ... #Central #Vertigo
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... Testing #Vertigo #Central ... #Peripheral #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #Vertigo #diagnosis ... #neurology #bppv
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a central ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... CVA #Peripheral #Central
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Congenital Nystagmus ... Diagnosis: Congenital ... Cooper Neurology ... #PhysicalExam # ... clinical #video #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential Diagnosis ... unidirectonal nystagmus ... Bone Fracture Central ... bidirectional nystagmus ... #Differential #Diagnosis
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... may be present Central ... vascular causes • Nystagmus ... #differential #diagnosis
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Deficiency Clinical Diagnosis ... 4): - Altered mental ... abnormalities (eg nystagmus ... B1 #Deficiency #diagnosis ... #criteria #neurology
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... stiffness, and altered mental ... : Non-specific Kernig ... ; Spec: 60-80% Lumbar ... #testing #physicalexam
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
vomiting/vertigo/nystagmus ... Palatal myoclonus - Central ... #Wallenbergs #neurology ... #diagnosis