40 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
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
nerve palsy Caused ... retraction #nystagmus #ocular ... #physicalexam # ... clinical #video #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
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
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
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
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Erb's Palsy is caused ... "waiter's tip" position ... Dislocation - May cause ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... #Sign #Reflex #Positive ... clinical #video #neurology ... #PhysicalExam
Ocular Dipping in Anoxic Brain Injury after Cardiac Arrest on Physical Exam

Bobbing goes down fast
Dipping goes
Ocular Dipping in ... Bobbing goes down fast ... @bobvarkey #Ocular ... Dipping #Anoxic #neurology ... clinical #video #physicalexam