13 results
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
after Dix Hallpike Maneuver ... beating to left ear ... Dix #Hallpike #Maneuver ... #physicalexam #ophthalmology ... #neurology #Frenzel
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... 45° towards the test ... throughout the test ... #DixHallpike #Maneuver ... Instructions #Diagnosis #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
The test is positive ... is rotational nystagmus ... toward the affected ear ... #neurology #vertigo ... #bppv #management
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... Young females Differential ... #PhysicalExam #neurology ... #ophthalmology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... A nystagmus in far ... abduction with nystagmus ... clinical #video #ophthalmology ... #neurology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
skin injury) • Neurologic ... Behcet disease) Differential ... Giant retinal tears ... inhibitors • Uveitis- Ophthalmology ... #diagnosis #management
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
life-threatening Differential ... Bedside: ice pack test ... /Edrophonium test ... Gravis #diagnosis #management ... #neurology
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
affected right ear ... Allow any nystagmus ... Again, allow any nystagmus ... positional #vertigo #neurology ... #physicalexam #management
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
affected right ear ... Allow any nystagmus ... Again, allow any nystagmus ... positional #vertigo #neurology ... #physicalexam #management
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... If ok with ICU team ... #PhysicalExam #neurology