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Episode 290 – Neurology VMR – Vertigo

The Clinical Problem Solvers

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How to Tell if You're Central or Not

Hints if we see an normal head impulse test direction changing nice stagmus or positive test of skew should worry you for stroke and noumen toker really wanted people to remember this he didn't give us just the hints mnemonic. infar which is impulse negative fast phase of nice stagmus alternating refixation on cover test not the greatest mnemonic because there's lots of extra words there but head impulse impulse normal fast phase ofNiceStagmus alternating refIXATION on cover test okay so now i know exactly what we're looking for on this physical exam right are there any obvious vocal findings to tell us we're central if there's nothing obvious that we need to do

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