156 results
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
- Provocative Testing ... - Hawkin’s Test ... - Drop Arm Test ... Labral tear: ... PhysicalExam #Shoulder #Testing
COVID-19 PCR and Serology Testing - Timeline
 • Nucleic Acid Test - Most reliable and can
COVID-19 PCR and Serology ... Testing - Timeline ... • Nucleic Acid Test ... #COVID19 #PCR #Serology ... antibody #antibodies #testing
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... Positional Vertigo (BPPV ... toward the downward ear ... with repeated testing ... findings #signs #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... posterior canal BPPV ... horizontal canal BPPV ... Induces vertigo (BPPV ... symptoms #comparison #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... ) • Hallpike test ... consistent with BPPV ... ) #Vertigo #BPPV ... Labyrinthitis #diagnosis #neurology
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Head Impulse Test ... Nystagmus Test ... #PhysicalExam #Testing ... Central #Peripheral #Neurology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... 9.2, LR- 0.09 Best ... test characteristics ... Pronator #Drift #Testing ... physicalexam #diagnosis #neurology
Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
Physical Exam Testing ... side in this 70-year-old ... the 50-second test ... clinical #video #neurology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Additional laboratory tests ... chronic kidney tests ... Test for celiac ... Non-invasive testing ... change medical management
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... auditory findings BPPV ... Positive Hallpike test ... or supine roll test ... Positive head impulse test