16 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
may be present Central ... with vascular causes ... worsen with head position ... • Short-lived, positional ... episodes caused
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... Causes of Vertigo ... Peripheral Causes ... Benign paroxysmal positional ... #diagnosis #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
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
and Central Vertigo ... CENTRAL VERTIGO ... (Wallenberg's syndrome ... Syndrome usually ... #Vertigo #Causes
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
labyrinthitis • Head Position ... with vascular causes ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
into a supine position ... remains in this position ... remains in this position ... remains in this position ... #vertigo #neurology
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
In this case, the ... parasympathetic control ... pilocarpine which if positive ... ophthalmology #physicalexam ... #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... experience, the cause ... or induced by treatment ... ophthalmology #physicalexam ... #neurology #Anisocoria
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
mobilization or supine position ... Caused commonly ... Treatment: anticholinergics ... pleurothotonus #PhysicalExam ... #clinical #neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
"waiter's tip" position ... hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam