38 results
Sustained Wrist Clonus on Physical Exam

Sustained wrist clonus in a patient who suffered a hemorrhagic stroke.

#Wrist
Sustained Wrist ... a hemorrhagic stroke ... #Wrist #Clonus # ... PhysicalExam #clinical ... #video #neurology
Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
for Treatment of BPPV ... Benign #paroxysmal #positional ... #vertigo #neurology ... clinical #video #physicalexam ... #management
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
can be severe in stroke ... nose) • Head Position ... worsen with head position ... Central #Vertigo #diagnosis ... symptoms #comparison #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... Vertigo (BPPV) ... consistent with BPPV ... Labyrinthitis #diagnosis ... #neurology #comparison
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Stroke Evaluation ... and Management ... #Management #Algorithm ... #diagnosis #differential ... #neurology #CVA
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
- Differential Diagnosis ... • Peripheral: BPPV ... Disease • Central: Stroke ... #Differential #Diagnosis ... #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... worsen with head position ... auditory findings BPPV ... • Short-lived, positional ... #neurology
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... of ischemic stroke ... • Measurable neurologic ... #cva #management ... #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... Epley #Maneuver #BPPV ... #vertigo #neurology ... clinical #video #physicalexam ... #management
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Benign paroxysmal positional ... - Vascular - Stroke ... - Strong Medicine ... #differential #diagnosis ... #neurology