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 head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... cause of AVS and ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral Causes ... - Vestibular Nerve ... Vestibulocochlear Nerve ... often classified as ... differential #diagnosis #neurology
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... grip weakness caused ... flat object such as ... clinical #video #neurology ... #physicalexam #
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The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... threat Cranial Nerves ... /flaccid limbs vs ... caseyalbin #PhysicalExam ... #neurology #comatose
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
head-impulse, nystagmus, test ... triggers (actions, movements ... the dizziness as ... more likely to be peripheral ... The approach uses
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Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... other potential causes ... to IV steroids as ... ophthalmology #physicalexam ... #neurology
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Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
• Cauda Equina Syndrome ... Commonly caused ... damage to peroneal nerve ... Myotomes #diagnosis #neurology ... sensory #motor #leg #physicalexam
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... Incidence: 1 to 2 cases ... and sensitive tests ... pathophysiology as ... diagnosis #management #neurology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
presentation is known as ... (no horizontal movement ... The most common causes ... #PhysicalExam # ... ophthalmology #neurology
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Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
components: targeted neurologic ... disposition, even if the cause ... is peripheral. ... acute vestibular syndrome ... Exam #Vestibular #Syndrome