17 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #PhysicalExam #Testing ... #Peripheral #Neurology
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic Testing ... Syncope #diagnosis #workup ... #testing #Cost ... Effectiveness #table ... #comparison
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... following a finger) • Test ... #diagnosis #neurology ... #bppv #comparison ... #table
Monoclonal Gammopathy Testing
Strengths, Weaknesses and Accuracy Compared
 - SPEP 
 - IFE 
 - FLC
Monoclonal Gammopathy Testing ... Monoclonal #Gammopathy #Testing ... SPEP #IFE #FLC #Nephrology ... #Laboratory #Comparison ... #Table
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Intermittent episodes lasting ... continuous and lasting ... upbeat (fast phase beating ... signs #symptoms #comparison ... #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... PAROXYSMAL POSITIONAL VERTIGO ... reproduction of vertigo ... Labyrinthitis #diagnosis #neurology ... #comparison
Commonly Used Diagnostic Tests for Celiac Disease

Tissue transglutaminase (tTG) IgA antibodies
 - Most reliable noninvasive test
Used Diagnostic Tests ... Reflects response to treatment ... Celiac #Disease #Testing ... #Diagnosis #Workup ... #Table
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
In-office testing ... and the ice pack test ... dismay the blood work ... include a Tensilon test ... ophthalmology #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
20° over end of table ... The test is positive ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... C3, C4 - Test for ... #glomerular #testing ... #workup #diagnosis ... nephrotic #nephritic #nephrology