106 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Head Impulse Test ... Nystagmus Test ... Animation by Dr ... #HINTS #Exam #PhysicalExam ... #Peripheral #Neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... cause of vertigo ... Video by Dr. ... #HINTS #PhysicalExam ... Video #Positive #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... may be present Central ... with vascular causes ... • Nystagmus: ... Vertigo #Algorithm #differential
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... cause of AVS. ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Vertigo - Differential ... Bone Fracture Central ... Dysfunction - Imbalance, neurologic ... Dizziness #Vertigo #Neurology ... #Differential #
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... cause of vertigo ... Video by Dr. ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
= Central Cause ... cause of vertigo ... Video by Dr. ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... following a finger) • Test ... uncover each eye Dr ... TylerLarsenMD #HINTS #physicalexam ... Vertigo #diagnosis #neurology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... nerve palsy Caused ... hemorrhage Dr ... #ocular #physicalexam ... clinical #video #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... Causes of Vertigo ... sclerosis - Dr ... #Causes #differential ... #diagnosis #neurology