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 ... Peripheral #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
Sensitivity is the proportion of truly diseased persons in the screened population who are identified as
will correctly diagnose ... a case, or the ... that any given case ... #Calculation #Table ... #PPV #NPV #Formulas
β–Ί
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 ... grip weakness caused ... clinical #video #neurology ... physicalexam #msk #orthopedics
β–Ί
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 ... #Instructions #Diagnosis ... #neurology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
- Differential Diagnosis ... Renal ultrasound, Tests ... sodium loading test ... #Differential #Diagnosis ... #Workup #table
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
distinguishing between causes ... Positional Vertigo (BPPV ... #differential #diagnosis ... #comparison #table
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Deep coma (any cause ... Hyperreflexia #Testing #Causes ... #differential #diagnosis ... #table #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... with a peripheral cause ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Renal Tubular Acidosis (RTA) Diagnosis and Management
 β€’ Distal (type 1) RTA
 β€’ Proximal (type 2)
Acidosis (RTA) Diagnosis ... and Management ... Tubular #Acidosis #Diagnosis ... #Management #nephrology ... #table
Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
Multiple masses ... The differential diagnostic ... most important diagnoses ... listed in the table ... #Management #Radiology