Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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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 ... PhysicalExam #Testing #Vertigo ... Central #Peripheral #Neurology
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HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... following a finger) • Test ... Central #Peripheral #Vertigo ... #diagnosis #neurology
Dizziness and Vertigo Algorithm
Presyncope:
 • Feels "faint" or like they are going to "pass out"
 •
Dizziness and Vertigo ... consciousness Vertigo ... #Dizziness #Vertigo ... differential #diagnosis #neurology ... #management
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Artery occlusion) Clinical ... Nausea/vomiting/vertigo ... #Wallenbergs #neurology
Positive Romberg Test on Physical Exam

The Romberg test is a test of the body's proprioception (sense
Positive Romberg Test ... The Romberg test ... is a test of the ... #PhysicalExam #clinical ... #video #neurology
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Hyperventilation Test to Induce an Absence Seizure

#Hyperventilation #Test #Absence #Seizure #clinical #video #physicalexam #neurology #PetiteMal
Hyperventilation Test ... Hyperventilation #Test ... Absence #Seizure #clinical ... #physicalexam #neurology
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Abnormal Heel to Shin Test on Physical Exam

Indicative of cerebellar dysfunction

#Heel #Shin #Test #PhysicalExam #clinical #video
Abnormal Heel to Shin Test ... #Heel #Shin #Test ... #PhysicalExam #clinical ... #video #neurology
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Abnormal Test of Skew indicating central process

via @neurologiabr

#Abnormal #Vertical #Skew #Test #HINTS #PhysicalExam #Clinical #Video #Neurology
Abnormal Test of ... Vertical #Skew #Test ... #PhysicalExam #Clinical ... #Video #Neurology ... #Vertigo #Central
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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 ... Froments #Sign #Test ... #Nerve #Palsy #clinical ... #video #neurology
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Acute Treatment of Migraine
Mild Attacks: NSAIDs, Simple Analgesics
Moderate/Severe Attacks: Triptans, Ditans, Gepants, Ergots
Non-pharmacologic Treatment: Neuromodulation, Rest,
Neuromodulation, Rest ... acute #treatment #management ... #neurology