Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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HINTS Exam - Distinguishing Central from Peripheral Vertigo
 β€’ Head Impulse: Head thrust 10Β° with eyes
following a finger) β€’ Test ... TylerLarsenMD #HINTS #physicalexam ... #diagnosis #neurology ... #bppv #comparison ... #table
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 ... #HINTS #Exam #PhysicalExam ... Central #Peripheral #Neurology
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Epley Maneuver for Treatment of BPPV

By Dr. Gutwein via @jmcchiefs

#Epley #Maneuver #BPPV #Benign #paroxysmal #positional #vertigo
for Treatment of BPPV ... paroxysmal #positional #vertigo ... #neurology #instructions ... clinical #video #physicalexam ... #management
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Dix-HaIlpike Maneuver
 β€’ Turn head to 45Β° and then rapidly lay patient to a supine position
20Β° over end of table ... The test is positive ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management
Dizziness and Vertigo Algorithm
Presyncope:
 β€’ Feels "faint" or like they are going to "pass out"
 β€’
Dizziness and Vertigo ... like they are going ... consciousness Vertigo ... differential #diagnosis #neurology ... #management
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
dizzy without using ... Vertigo: β€’ Peripheral ... : BPPV, Vestibular ... Differential #Diagnosis #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... 45Β° towards the test ... throughout the test ... DixHallpike #Maneuver #BPPV ... Instructions #Diagnosis #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
for Treatment of BPPV ... paroxysmal #positional #vertigo ... #neurology #instructions ... clinical #video #physicalexam ... #management
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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 ... #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
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Pronator Drift (Pyramidal Drift) on Physical Exam

Testing showed pronator drift on the left side in this
eyes were closed during ... the 50-second test ... Drift #Pyramidal #PhysicalExam ... clinical #video #neurology
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