12 results
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... #neurology #bppv ... #comparison #table
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... and Central Vertigo ... PERIPHERAL VERTIGO ... #Central #Vertigo ... signs #symptoms #comparison
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... #Central #Peripheral
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... consistent with BPPV ... ) • Epley maneuver ... #BPPV #Vestibular ... diagnosis #neurology #comparison
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... may be present Central ... BPPV • Short-lived ... Positive Hallpike test ... or supine roll test
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... symptoms, this finding ... worrisome for a CENTRAL ... #HINTS #PhysicalExam ... #Central
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Normal Test ... symptoms, this finding ... Vertical #Skew #Test ... #HINTS #PhysicalExam ... #Peripheral
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... this abnormal finding ... cause of vertigo ... #HINTS #PhysicalExam ... #Peripheral
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Classic Findings ... During Hallpike Test ... (BPPV) • Latency ... #dixhallpike #physicalexam ... #signs #bppv #vertigo
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... = Central Cause ... symptoms, this normal finding ... #HINTS #PhysicalExam ... #Central