20 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Varies • No neurologic ... findings BPPV • Short-lived ... #differential #diagnosis ... #neurology
Phimosis 
Inability to retract the foreskin - Can be normal up to 3 years old -
back to anatomic position ... #Paraphimosis #Comparison ... #Diagnosis #Urology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Hallpike test: Positive ... in head-hanging position ... impulse test: Positive ... Labyrinthitis #diagnosis ... #neurology #comparison
Hawkin's Test 1. Position arm in throwing position and flex forward 30 degrees. 2. Examiner internally
Position arm in ... throwing position ... #Diagnosis #Ortho ... #Sports #Supraspinatus ... #Test #Hawkin #ALiEM
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
nose) • Head Position ... worsen with head position ... Central #Vertigo #diagnosis ... signs #symptoms #comparison ... #neurology
Jobe's Test ("Empty Can" Test) 1. Position arm in scapular plane and point thumb down as
Position arm in ... #Diagnosis #Ortho ... #Sports #Supraspinatus ... EmptyCan #Jobe #ALiEM
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Supports the patient ... patient in this position ... to the upright position ... #Instructions #Diagnosis ... #neurology
Bicep muscle injury - Yergason Test - 1. Position patient's elbow at 90 degrees with thumb
Position patient's ... holding at wrist) #Diagnosis ... #Ortho #Sports ... Yergason #Test #ALiEM
Labral tear - Crank Test 1. Position patient's arm in 90 degree abduction and elbow flexion
Position patient's ... rotating arm #Diagnosis ... #Ortho #Sports ... #Test #Crank #ALiEM
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
50 years in men Diagnosis ... antibodies - MuSK-positive ... myasthenia usually • Starts ... within 3 years of diagnosis ... #management #neurology