23 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Sudden, severe, can last ... may be present Central ... with vascular causes ... #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
worrisome for a CENTRAL ... cause of vertigo ... Nystagmus #HINTS #PhysicalExam ... Clinical #Video #Positive ... #Neurology #Central
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
HIT) result is positive ... with a peripheral cause ... cause of AVS. ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
torsional and upbeat (fast ... with vascular causes ... , downbeating (fast ... #Vertigo #diagnosis ... symptoms #comparison #neurology
Hepatitis B Virus Serology and Interpretation
HBsAg - Anti-HBs - Anti-HBc - HBeAg - Anti-HBe
 - Acute
Hepatitis B Virus Serology ... (about 10% of cases ... immunity) - False-positive ... HepatitisB #HBV #Serology ... Interpretation #diagnosis
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
syphilis) Meaning: Positive ... Observe when patient closes ... Rombergs #Test #neurology ... #diagnosis #proprioception ... #physicalexam
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... and Central Vertigo ... several days but can last ... #differential #diagnosis ... #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Erb's Palsy is caused ... "waiter's tip" position ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
transmission in the last ... Petechiae or positive ... and no apparent focus ... metrorrhagia, central ... classification #diagnosis
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
- Differential Diagnosis ... • Gram stain: Positive ... 90% • Culture: Positive ... culture or by serology ... #neurology #meningitis