12 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 ... #Central #Peripheral ... #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... may be present Central ... test (posterior ... test Méniére's ... differential #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... HIT) result is positive ... abnormal) in nearly all ... a stand-alone test ... #PhysicalExam #Neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
= Central Cause ... This patient as ... Video by Dr. ... PhysicalExam #Clinical #Video ... #Neurology #Vertigo
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... #Central #Vertigo ... diagnosis #findings #signs ... symptoms #comparison #neurology
Kernig's Sign in Meningitis

Kernig's sign is present if the patient, in the supine position with the
in the supine position ... In this video, the ... infant cries as ... Meningitis #Clinical #Video ... Pediatrics #Peds #neurology
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
A positive test, ... also known as a ... Babinski sign, ... extending with all ... PhysicalExam #Diagnosis #Neurology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
suspected and anti-ACh ... cogan sign and ... the ice pack test ... PhysicalExam #clinical #video ... ophthalmology #neurology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Arboviruses: - West ... Acute meningeal signs ... • Gram stain: Positive ... /l is regarded as ... differential #diagnosis #neurology
Foster Maneuver (half somersault maneuver) for Treatment of BPPV
Some patient find this maneuver more easier with
maneuver is used as ... home exercise. 1) Kneel ... while you're on all ... #neurology #instructions ... #clinical #video