10 results
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA ... #Testing #HIT #HINTS
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Vestibulocochlear Nerve (CN ... often classified as ... - Strong Medicine ... #differential #diagnosis ... #neurology
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... components: targeted neurologic ... CNS, Central nervous ... #Diagnosis #AVS ... #Posterior #CVA
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Algorithm Presyncope ... Associated with nausea ... - Strong Medicine ... #differential #diagnosis ... #neurology #management
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... present, in which case ... onset must be < ... #cva #management ... #neurology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Evaluate underlying cause ... Detected on NCCT vs ... #stroke #workup ... #diagnosis #checklist ... #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
severe in stroke ... with vascular causes ... , such as with posterior ... #diagnosis #findings ... symptoms #comparison #neurology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... culture or by serology ... /l is regarded as ... a strong indicator ... #neurology #meningitis
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... include a: • Neurologic ... Hearing tests such as ... cause unknown) ... trauma ○ MS, CVA
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
left eye that had been ... Entering VA was ... this are tumors, strokes ... the hospital, diagnosed ... ophthalmology #neurology