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clinical video maneuver management vertigo ocular instructions positional dix syndrome hallpike pupil signs testing differential dixhallpike nystagmus posterior pupillary adies
HINTS Exam - Distinguishing Central from Peripheral Vertigo • Head Impulse: Head thrust 10° with eyes
following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... Peripheral #Vertigo #diagnosis ... #neurology #bppv
Shoulder Exam - Provocative Testing Supraspinatus muscle injury: - Jobe’s Test - Hawkin’s Test - Drop Arm
injury: - Jobe’s Test ... - Hawkin’s Test ... - Drop Arm Test ... Labral tear: ... #Diagnosis #PhysicalExam
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis BENIGN PAROXYSMAL POSITIONAL VERTIGO • Age: More common
Positional Vertigo (BPPV ... consistent with BPPV ... ) #Vertigo #BPPV ... Labyrinthitis #diagnosis ... #neurology #comparison
Diagnostic Algorithm for Dizziness and Vertigo Peripheral Vertigo: • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Varies • No neurologic ... auditory findings BPPV ... #differential #diagnosis ... #neurology
Argyll Robertson Pupil Definition: - Irregular and small (1-2mm) pupil - Light-near dissociation (accommodation remains intact) -
pupil - Light-near ... Robertson #Pupil #neurology ... #diagnosis #ophthalmology ... #physicalexam
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV) • Latency (delay
During Hallpike Test ... Positional Vertigo (BPPV ... toward the downward ear ... #dixhallpike #physicalexam ... findings #signs #bppv
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver This is a case of right posterior semicircular
Nystagmus in PSC BPPV ... beating to left ear ... clinical #video #physicalexam ... #ophthalmology ... #neurology #Frenzel
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 Dix-Hallpike Maneuver for BPPV Procedure: 1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... 45° towards the test ... throughout the test ... #Instructions #Diagnosis ... #neurology
Conductive vs Sensorineural Hearing Loss on Physical Exam Weber Test: • Normal: Sound is equal bilaterally •
Physical Exam Weber Test ... Rinne Test: ... conduction Hum Test ... #HearingLoss #PhysicalExam ... #diagnosis #Weber
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
6mm); • Light-near ... females Differential Diagnosis ... - no light-near ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
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