32 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... vs Peripheral Vertigo ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Central #Peripheral
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
and Central Vertigo ... PERIPHERAL VERTIGO ... CENTRAL VERTIGO ... varying neurologic signs ... #Peripheral #Central
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
symptoms, this ... worrisome for a CENTRAL ... Nystagmus #HINTS #PhysicalExam ... Positive #Neurology #Central ... #Vertigo
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
symptoms, this ... reassuring for a PERIPHERAL ... Nystagmus #HINTS #PhysicalExam ... Negative #Neurology #Peripheral ... #Vertigo
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
symptoms, this ... worrisome for a CENTRAL ... cause of vertigo ... #Test #HINTS #PhysicalExam ... #Central
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... #Central #Vertigo ... diagnosis #findings #signs ... #symptoms #comparison
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Rotary Movement Peripheral ... vomiting, auditory symptoms ... Bone Fracture Central ... Imbalance, neurologic symptoms ... /signs, bidirectional
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
symptoms, this ... reassuring for a PERIPHERAL ... cause of vertigo ... #Test #HINTS #PhysicalExam ... #Peripheral
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... from Peripheral ... Vertigo • Head ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Impulse Test = Central ... symptoms, this ... cause of vertigo ... #Test #HINTS #PhysicalExam ... #Central