32 results
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #diagnosis #neurology ... #bppv #comparison
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... (BPPV) • Latency ... #dixhallpike #physicalexam ... testing #findings #signs ... #bppv #vertigo
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... auditory findings BPPV ... Positive Hallpike test ... or supine roll test ... differential #diagnosis #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... only with upbeat and ... consistent with BPPV ... #BPPV #Vestibular ... Labyrinthitis #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... posterior canal BPPV ... (BPPV); worsens ... diagnosis #findings #signs ... symptoms #comparison #neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... normal head impulse test ... to the left and ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... with significant neurologic ... attacks with varying neurologic ... signs or symptoms ... differential #diagnosis #neurology
Hoffmann's Sign

Hoffman's sign means upper motor neuron injury.  The Hoffmann's reflex test itself involves loosely
Hoffmann's Sign ... Hoffmann's reflex test ... thumb on the same hand ... clinical #video #neurology ... #physicalexam
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... Palsy This tests ... clinical #video #neurology ... #physicalexam # ... orthopedics #sports #hand
Kernig's Sign in Meningitis

Kernig's sign is present if the patient, in the supine position with the
Kernig's Sign in ... Meningitis Kernig's sign ... Clinical #Video #PhysicalExam ... #Pediatrics #Peds ... #neurology