13 results
Ice-pack Test for Myasthenia Gravis - Likelihood Ratio (LR) +24 / -0.16
Ice pack's can be used
Ice-pack Test for ... effectively increasing ACh ... VA Joint Chiefs ... #physicalexam # ... neurology #diagnosis
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... auditory findings BPPV ... No auditory symptoms ... Long symptom-free ... #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... consistent with BPPV ... #BPPV #Vestibular ... Labyrinthitis #diagnosis ... #neurology #comparison
Effects of Strokes by Location - Anterior vs Posterior Localization

Anterior Circulation 
 - MCA 
 -
#Territory #Symptoms ... #Signs #Localization ... #Effects #Neurology ... #Diagnosis #Table ... Review in Clinical Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #diagnosis #neurology ... #bppv #comparison
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... (BPPV); worsens ... #diagnosis #findings ... #signs #symptoms ... #comparison #neurology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
extensor weakness - Sign ... test characteristics ... Testing #Stroke #physicalexam ... #diagnosis #neurology ... #cva
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... with significant neurologic ... signs or symptoms ... #differential #diagnosis ... #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... abnormal) in nearly all ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
suspected and anti-ACh ... such as cogan sign ... and the ice pack test ... #Gravis #PhysicalExam ... ophthalmology #neurology