16 results
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Wernicke Encephalopathy ... 4): - Altered mental ... abnormalities (eg nystagmus ... dysfunction and gait ... diagnosis #criteria #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... worrisome for a CENTRAL ... #HINTS #PhysicalExam ... Video #Positive #Neurology ... #Central #Vertigo
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... Testing #Vertigo #Central ... #Peripheral #Neurology
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Wernicke Encephalopathy ... • Changes in mental ... ophthalmoplegia and nystagmus ... dysfunction (e.g. gait ... Diagnosis #Management #neurology
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
Wernicke Encephalopathy ... - Triad Encephalopathy ... dysfunction • Nystagmus ... Ataxia • Gait ... Triad #Diagnosis #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... Vertigo #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a central ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... CVA #Peripheral #Central
Vertical Nystagmus and Ophthalmoplegia on Physical Exam in Wernicke Encephalopathy

Dr. Bruno Farnetano @bruno.farnetano

#Vertical #Nystagmus #Ophthalmoplegia #Wernicke
Vertical Nystagmus ... Exam in Wernicke Encephalopathy ... #Vertical #Nystagmus ... #PhysicalExam # ... ophthalmology #neurology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
ENCEPHALOPATHY ( ... DYSFUNCTION (29%) Nystagmus ... GAIT ATAXIA (23% ... Primarily: Stance & gait ... diagnosis #triad #neurology
Vertical Nystagmus on Slit Lamp Ocular Examination

Often an indicator of a central lesion. This patient was
Vertical Nystagmus ... indicator of a central ... #Vertical #Nystagmus ... #PhysicalExam # ... ophthalmology #neurology