34 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Vertigo Head ... Impulse Test Nystagmus ... Test of Skew ... #Central #Peripheral ... #Neurology
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Normal Test ... reassuring for a PERIPHERAL ... Vertical #Skew #Test ... Clinical #Video #Neurology ... #Vertigo #Peripheral
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... a patient with vertigo ... cause of vertigo ... Clinical #Video #Neurology ... #Vertigo #Peripheral
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... a patient with vertigo ... cause of vertigo ... Clinical #Video #Neurology ... #Vertigo #Peripheral
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Vertigo Peripheral ... Varies • No neurologic ... Positive Hallpike test ... or supine roll test ... differential #diagnosis #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central from Peripheral ... Vertigo • Head ... following a finger) • Test ... #Vertigo #diagnosis ... #neurology #bppv
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... patients with a peripheral ... a stand-alone test ... #PhysicalExam #Neurology ... VestibularSyndrome #Posterior #CVA
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... This patient as ... normal head impulse test ... to the left and ... Clinical #Video #Neurology
Causes of Dizziness / Lightheadedness - Differential Diagnosis Algorithm
Lightheaded, unsteady, disoriented - Non-vertigo
Organic Disease
 • Presyncope/Vasodepressor
disoriented - Non-vertigo ... • Anemia • Peripheral ... Problem • Drugs Psychiatric ... Lightheadedness #Neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... Peripheral Causes ... often classified as ... #Peripheral #Central ... differential #diagnosis #neurology