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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The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #Neurology
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HINTS Exam - Distinguishing Central from Peripheral Vertigo
 β€’ Head Impulse: Head thrust 10Β° with eyes
Distinguishing Central ... from Peripheral Vertigo ... following a finger) β€’ Test ... #Peripheral #Vertigo ... #diagnosis #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, MΓ©niΓ©re disease,
Peripheral and Central ... Causes of Vertigo ... vertigo"), Ramsay ... #differential #diagnosis ... #neurology
Abnormal Test of Skew indicating central process

via @neurologiabr

#Abnormal #Vertical #Skew #Test #HINTS #PhysicalExam #Clinical #Video #Neurology
Abnormal Test of ... Skew indicating central ... PhysicalExam #Clinical #Video ... #Neurology #Vertigo ... #Central
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Central Retinal Vein Occlusion (CRVO)
Clinical:
 β€’ Sudden, painless, monocular loss of vision 
 β€’ "Blood and
Central Retinal ... fundoscoplc exam Management ... : β€’ Ophthalmology ... intravitreal) #Central ... Occlusion #CRVO #Diagnosis
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Nausea/vomiting/vertigo ... Palatal myoclonus - Central ... #Wallenbergs #neurology ... #diagnosis
Central Retinal Artery Occlusion (CRAO) vs Central Retinal Vein Occlusion (CRVO) - A Comparison Table

Clinical Features,
Central Retinal ... Occlusion (CRAO) vs Central ... Features, Etiology, Diagnosis ... #CRAO #CRVO #Ophthalmology ... #Diagnosis #Management
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... patients with a central ... a stand-alone test ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Central Retinal Artery Occlusion (CRAO)
Clinical:
 β€’ Sudden, painless, complete loss of vision 
 β€’ Pale retina
Central Retinal ... spot on fovea Management ... β€’ Immediate ophthalmology ... isosorbide) #Central ... Occlusion #CRAO #Diagnosis
Dizziness and Vertigo Algorithm
Presyncope:
 β€’ Feels "faint" or like they are going to "pass out"
 β€’
Dizziness and Vertigo ... consciousness Vertigo ... #Dizziness #Vertigo ... #differential #diagnosis ... #neurology #management