26 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... change • Neurologic ... Positive Hallpike ... Positive head impulse ... differential #diagnosis #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... CENTRAL cause of vertigo ... Clinical #Video #Positive ... #Neurology #Central ... #Vertigo
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... Hallpike test: Positive ... in head-hanging position ... impulse test: Positive ... Labyrinthitis #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... labyrinthitis • Head Position ... 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
Epley Maneuver for Treatment ... into a supine position ... remains in this position ... paroxysmal #positional #vertigo ... #neurology #instructions
Phimosis 
Inability to retract the foreskin - Can be normal up to 3 years old -
after age 4 Treatment ... back to anatomic position ... Comparison #Diagnosis #Urology
Migraine with Aura
Diagnostic Criteria (ICHD-3):
A) At least 2 attacks fulfilling criteria B and C:
B) One or
• Brainstem: Vertigo ... aura symptom is positive ... diagnosis #criteria #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... The test is positive ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
mobilization or supine position ... Treatment: anticholinergics ... PhysicalExam #clinical #neurology
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
antibodies - MuSK-positive ... Treatment: • Symptomatic ... treatment Of ocular ... diagnosis #management #neurology ... #treatment