38 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 ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... #Peripheral #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... #Vertigo #diagnosis ... #neurology #bppv
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a peripheral ... patients with a central ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential Diagnosis ... Rotary Movement Peripheral ... unidirectonal nystagmus ... • Meniere's Disease ... Bone Fracture Central
Congenital Nystagmus on Physical Exam
These abnormal eye movements were found in a patient with albinism. What
Diagnosis: Congenital ... Cooper Neurology ... #PhysicalExam # ... ocular #clinical ... #video #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... vertigo, Méniére disease ... Vestibulocochlear Nerve (CN ... #differential #diagnosis ... #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Dizziness and Vertigo Peripheral ... minutes to days • Nystagmus ... may be present Central ... test Méniére's disease
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... tinnitus (Méniére's disease ... circulation TIA • Nystagmus ... #diagnosis #findings ... symptoms #comparison #neurology
Central Distribution, Febrile / Ill:
 - Viral Exanthem 
 - Lyme Disease (erythema migrans) 
Central Distribution,
Central Distribution ... Exanthem - Lyme Disease ... erythema migrans) Central ... Maculopapular #Macular ... Rash #Algorithm #Diagnosis
Causes of Proximal Muscle Weakness That May Mimic Inflammatory Myopathy
 • Central or peripheral neurologic disease
Inflammatory Myopathy • Central ... or peripheral neurologic ... disease • Myasthenia ... Trichinosis - Lyme disease ... Myopathy #mimics #diagnosis