11 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Nystagmus Test ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Central #Peripheral ... #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
#Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA ... #Peripheral #Central ... #HeadImpulse #Testing
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... test characteristics ... #Stroke #physicalexam ... #diagnosis #neurology ... #cva
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... Cushing syndrome (central ... dexamethasone suppression test ... Cushing #Syndrome #diagnosis ... #algorithm #endocrinology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... #Vertigo #diagnosis ... #neurology #bppv
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Dizziness and Vertigo Peripheral ... may be present Central ... Dizziness #Vertigo #Algorithm ... #differential #diagnosis
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... components: targeted neurologic ... if the cause is peripheral ... CNS, Central nervous ... #Posterior #CVA
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... stiffness, and altered mental ... and legs will flex ... Up to 100% - VA ... #testing #physicalexam
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
~5th decade → peripheral ... GHRH release, central ... glucose suppression test ... • Pituitary testing ... #Management #Endocrinology
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
- Differential Diagnosis ... of breath • Neurologic ... deficits (peripheral ... Superior Vena Cava ... • Dyspnea at rest