20 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Central #Peripheral ... #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a central ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... 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 ... Pronator #Drift #Testing ... #Stroke #physicalexam ... #diagnosis #neurology
Central vs Nephrogenic Diabetes Insipidus - Desmopressin Challenge
Give desmopressin (intranasal, SQ, IV) and monitor UOsm every
Central vs Nephrogenic ... BostonChiefs #Central ... Desmopressin #Challenge #diagnosis ... #nephrology #testing
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... #Vertigo #diagnosis ... #neurology #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... labyrinthitis) CENTRAL ... #Peripheral #Central ... #Vertigo #diagnosis ... symptoms #comparison #neurology
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... stiffness, and altered mental ... #Meningitis #diagnosis ... #testing #physicalexam ... #Specificity #diagnosis
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... Hering's law) • Testing ... Myasthenia #Gravis #PhysicalExam ... #Maneuvers #Diagnosis ... #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central ... CENTRAL VERTIGO ... #Peripheral #Central ... #differential #diagnosis ... #neurology
NINDS Diagnostic Criteria for Guillain Barre Syndrome 
Features Required for Guillain-Barré Syndrome:
 • Progressive muscle weakness
NINDS Diagnostic ... protein Features Casting ... Doubt on Diagnosis ... sensory level • Central ... #criteria #neurology