36 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Sudden, severe, can last ... Varies • No neurologic ... with vascular causes ... positional episodes caused ... differential #diagnosis #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
for a CENTRAL cause ... Nystagmus #HINTS #PhysicalExam ... Clinical #Video #Positive ... #Neurology #Central
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... below the bed, the fast ... , the fast phase ... #DixHallpike #Maneuver ... Instructions #Diagnosis #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 ... infection in remote past ... HepatitisB #HBV #Serology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
HIT) result is positive ... with a peripheral cause ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Physical Exam Maneuvers ... ptotic eyelid will cause ... Myasthenia #Gravis #PhysicalExam ... #Maneuvers #Diagnosis ... #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
torsional and upbeat (fast ... with vascular causes ... , downbeating (fast ... nose) • Head Position ... symptoms #comparison #neurology
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Pupillary Defect This maneuver ... regarding the cause ... Pupillary #Defect #Neurology ... Pupils #MacrusGunn #PhysicalExam
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
Epley Maneuver for ... into a supine position ... #Epley #Maneuver ... positional #vertigo #neurology ... clinical #video #physicalexam
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 ... open and closed Positive ... Rombergs #Test #neurology ... proprioception #physicalexam