11 results
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... Dix Hallpike Maneuver ... #Maneuver #clinical ... #physicalexam #ophthalmology ... #neurology
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Dix Hallpike Maneuver ... #Dix #Hallpike ... #Maneuver #clinical ... #physicalexam #ophthalmology ... #neurology #Frenzel
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
and torsional nystagmus ... patient with a clinical ... patient with a clinical ... Labyrinthitis #diagnosis ... #neurology #comparison
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... auditory findings BPPV ... Positive Hallpike ... No auditory symptoms ... Long symptom-free
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... for BPPV Procedure ... Vertiginous symptoms ... #Instructions #Diagnosis ... #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... Central #Vertigo #diagnosis ... findings #signs #symptoms ... #comparison #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... formation) and MLF (medial ... the hospital, diagnosed ... #video #ophthalmology ... #neurology
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs/symptoms ... high index of clinical ... is required for diagnosis ... : Serial negative ... #Endocarditis #comparison
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Algorithm Clinical ... • Neurologic ... symptoms suggest ... depress when looking medially ... Algorithm #Causes #Ophthalmology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... skin injury) • Neurologic ... Medium and large ... Behcet syndrome (Clinical ... inhibitors • Uveitis- Ophthalmology