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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HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... Peripheral #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
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 ... clinical #video #neurology ... #physicalexam # ... msk #orthopedics
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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
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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
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver for BPPV ... 45° towards the test ... throughout the test ... #Instructions #Diagnosis ... #neurology
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
Romberg's Test for ... Meaning: Positive test ... Observe when patient closes ... #neurology #diagnosis ... proprioception #physicalexam
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
alternating light test ... very sensitive diagnostic ... regarding the cause ... Pupillary #Defect #Neurology ... Pupils #MacrusGunn #PhysicalExam
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Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
20° over end of table ... The test is positive ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management
Orthopedic Essentials - Spinal Trauma and Spine Classification 
DENIS THREE COLUMN CONCEPT
Anterior column:
Orthopedic Essentials ... fractures: Don't cause ... spinal deformity or neurologic ... Classification #Orthopedics ... #diagnosis #localization
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
test (Nylen Barany ... test) is a diagnostic ... But in undefined cases ... #BPPV #neurology ... #PhysicalExam
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