20 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
patient with vertigo symptoms ... worrisome for a CENTRAL ... Nystagmus #HINTS #PhysicalExam ... Positive #Neurology #Central
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... present, including tinnitus ... labyrinthitis) CENTRAL ... findings #signs #symptoms ... #comparison #neurology
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
useful when A-fib ... to improve CHF symptoms ... independent of A-fib ... #Fibrillation #AFib ... management #treatment #comparison
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
) Summary Symptoms ... possibly better: • Symptom ... with early Afib ... (< 5% pts with afibb ... #Fibrillation #AFib
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
patient with vertigo symptoms ... worrisome for a CENTRAL ... #Test #HINTS #PhysicalExam ... Neurology #Vertigo #Central
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Time course and symptoms ... hypoacusia or tinnitus ... differential #diagnosis #comparison
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Impulse Test = Central ... patient with vertigo symptoms ... worrisome for a CENTRAL ... #Test #HINTS #PhysicalExam ... Neurology #Vertigo #Central
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
may be present Central ... No auditory symptoms ... Méniére's disease • Tinnitus ... Long symptom-free
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... neurology #bppv #comparison
Differentiating Features Between Central and Peripheral Cyanosis

Mechanism - Arterial destauration
Sites - Skin, mucous membrane of oral
Features Between Central ... #Cyanosis #Central ... #Peripheral #Comparison ... #Signs #Symptoms