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HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... • Head Impulse ... : Head thrust 10 ... look straight ahead ... Central #Peripheral #Vertigo
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Paroxysmal Positional Vertigo ... nystagmus and vertigo ... once in head-hanging ... symptoms in head-hanging ... nystagmus escalates in head-hanging
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse ... PhysicalExam #Testing #Vertigo
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
Exam - Abnormal Head ... Left 2) Abnormal Head ... a patient with vertigo ... PERIPHERAL cause of vertigo ... Video #Neurology #Vertigo
PECARN - Pediatric Head Injury Decision Aid - Mayo Clinic
PDF: https://s3-us-west-2.amazonaws.com/creatorphotos.clacdm.com/diagrams/PECARN%20DA.pdf

#Management #PatientInfo #Peds #Pediatrics #DecisionAid #PECARN
PECARN - Pediatric Head ... #PatientInfo #Peds ... PECARN #HeadInjury #CTHead
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo ... Peripheral Vertigo ... present Central Vertigo ... Can worsen with head ... Positive head impulse
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
Exam - Abnormal Head ... Left 2) Abnormal Head ... a patient with vertigo ... PERIPHERAL cause of vertigo ... Video #Neurology #Vertigo
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Exam - Normal Head ... patient as a normal head ... a patient with vertigo ... CENTRAL cause of vertigo ... Video #Neurology #Vertigo
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... labyrinthitis • Head ... toward nose) • Head ... can worsen with head
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... CENTRAL VERTIGO ... Head trauma - Symptoms ... shortly after head