Re: nystagmus
mohhaider - 10-02-08 12:16

I think that vomiting is one of these factors .I think it's more associated with central causes of nystagmus .Right Sackatdoc ?

Re: nystagmus
sackatdoc - 10-03-08 09:18

NO sir, vomitting is in both
differences are again depending on history and clinical findings
peripheral has acute onset and central has chronic
peripheral a/w tinnintus or hearing loss b'cause the causes are labrynthitis, meinier's disease etc
central donot have such associations b'coz the causes are brain tumor or bleed in cerebellar region.
Now the clinical findings-
peripheral-unidirectional, i.e no matter where left or right patient is looking it will always point opposite to the side of lesion
central-multidirectional, nystagmus changes direction as person looks right or left
peripheral is suppressed with fixation i.e if you ask patient to fix his gaze at your finger, it disappears
central -is not suppressed with fixation
no FNDs in peripheral where there are in central
peripheral is never pure nystagmus. where as central is pure that is either horizontal or vertical.

Re: nystagmus
mohhaider - 10-03-08 10:18

Great notes Sackatdoc ,where did you read these S&S ? I think you are preparing for STEP 3 seriously this time .Good Luck .

Re: nystagmus
sackatdoc - 10-03-08 10:42

THANK YOU!!do i have any options?i hope i'm serious, i'm reading one topic at a time, too slow!!I got these from swansons notes.

Re: nystagmus
mohhaider - 10-03-08 17:11

Yes , you have this only option, you ace the STEP 3 and I'm sure of that .I think it's very normal to start slowly ,then you'll be faster.

Re: nystagmus
sackatdoc - 10-04-08 06:22

probably faster when i have a week left to take the exam, thats what i have done in previous two steps, i dont want to repeat that blunder.

Re: nystagmus
mohhaider - 10-04-08 08:52

No ,you wont have this mistake again in shaa Allah.How long did you take to prepare for STEPs 1 and 2 before ?I think that last month will be very fast one .

Re: nystagmus
sackatdoc - 10-04-08 13:50

for step 1, i took 5months, for step2, i took 2months, in which i used to be too relaxed in the beginning and when the date for exam would near, i used to rush with everything without giving enough time for revision, that why the results, actually i was overconfident without any substantial reason to be even confident.

Re: nystagmus
mohhaider - 10-04-08 14:04

Don't worry ,the most important thing you have is that you have passed the STEPs 1 and 2 from first trial .Keep reading .GOOD LUCK

Re: nystagmus
sackatdoc - 10-04-08 15:13

but i'm really suffering with the kind of scores i've got, but yes with an attempt,i would have been nowhere,i have seen people suffering with attempts on USMLE.

Re: nystagmus
mohhaider - 10-04-08 15:17

Yes ,we already have a poor guy here suffering from multible trial ,but at least he got one interview till now and hope that he will get more .

Re: nystagmus
sackatdoc - 10-04-08 17:45

one IV he got is due to his completing all the steps at the time of application,God bless him!!!

Re: nystagmus
mohhaider - 10-04-08 17:49

I think that he may get other interviews soon ,anyway who knows ,the interview he has now may work and get it especially he has one year USCE .

Re: nystagmus
anasarca0101 - 11-08-08 12:15

thanks sackatdoc! love to read ur thread..i gain alot of knowledge! good luck for step 3!

Re: nystagmus
sackatdoc - 11-08-08 15:51

thank you anasarca0101, for the compliments.-:)

Re: nystagmus
doctor1 - 11-12-08 14:33

good list of differennes
but to give another difference, central nystagmus is non fatiguable ,a nd usually vertical or rotational , while the peripheral nystagmus is not

Re: nystagmus
sackatdoc - 11-12-08 15:22

thanks doctor 1 for contributing in the differences,