38 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... Head Impulse Test ... Nystagmus Test ... #PhysicalExam #Testing ... #Peripheral #Neurology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... for Stroke Subtle ... test characteristics ... #Stroke #physicalexam ... #diagnosis #neurology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... - Strong Medicine ... Hyperreflexia #Testing ... #Causes #differential ... diagnosis #table #neurology
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Stroke Evaluation ... Immediate Workup ... Ischemic Stroke ... Algorithm #diagnosis #differential ... #neurology #CVA
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
- Vascular - Stroke ... Eric Strong @DrEricStrong ... - Strong Medicine ... #Causes #differential ... #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... patients with a central ... a stand-alone test ... #PhysicalExam #Neurology ... #HeadImpulse #Testing
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Test for celiac ... disease with serology ... biopsy only if serology ... Non-invasive testing ... Gastrointestinal #Evaluation #workup
Causes of Facial Weakness - Differential Diagnosis Algorithm
Forehead Sparing = Central cause
  - Most commonly
Facial Weakness - Differential ... Forehead Sparing = Central ... Most commonly stroke ... Facial #Weakness #Differential ... Algorithm #Causes #neurology
Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
Physical Exam Testing ... the 50-second test ... clinical #video #neurology ... #cva #stroke
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea - Workup ... hydrogen breath test ... Eric Strong @DrEricStrong ... - Strong Medicine ... #diagnosis #differential