13 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... Head Impulse Test ... Nystagmus Test ... #PhysicalExam #Testing ... #Peripheral #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... patients with a central ... a stand-alone test ... #PhysicalExam #Neurology ... #HeadImpulse #Testing
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
• Additional laboratory ... tests may be needed ... Test for celiac ... Non-invasive testing ... Gastrointestinal #Evaluation #workup
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... Palsy This tests ... ulnar nerve palsy, testing ... clinical #video #neurology ... #orthopedics #sports
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... more time for the laboratory ... • Hepatitis B serology ... Rheumatoid #Arthritis #laboratory ... #workup #diagnosis
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... may be present Central ... findings BPPV • Short-lived ... or supine roll test ... differential #diagnosis #neurology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... rapid seizure control ... #Management #Neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central ... vertigo (BPPV) - Short-lived ... CENTRAL VERTIGO ... #Peripheral #Central ... differential #diagnosis #neurology
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... Spot PC (protein ... C3, C4 - Test for ... #workup #diagnosis ... nephrotic #nephritic #nephrology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
In-office testing ... and the ice pack test ... dismay the blood work ... include a Tensilon test ... ophthalmology #neurology