31 results
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Benign Paroxysmal Positional ... Vertigo (BPPV) ... in head-hanging position ... #dixhallpike #physicalexam ... findings #signs #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... Central Vertigo PERIPHERAL ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... nose) • Head Position
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central from Peripheral ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... diagnosis #neurology #bppv
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo Peripheral ... minutes to days • Nystagmus ... worsen with head position ... auditory findings BPPV ... • Short-lived, positional
Downbeat nystagmus induced by carbamazepine

Gary Álvarez.•. @garinho29

#nystagmus #Downbeat #vertical #carbamazepine #Eye #ocular #PhysicalExam #Clinical #Video
Downbeat nystagmus ... @garinho29 #nystagmus ... #Downbeat #vertical ... #Eye #ocular #PhysicalExam
Primary Downbeat Nystagmus on Ocular Examination

Primary downbeat nystagmus, most evident on looking down and out .
Primary Downbeat ... Nystagmus on Ocular ... nystagmus, most ... #Nystagmus #Ocular ... clinical #video #physicalexam
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... Vertigo (BPPV) ... BENIGN PAROXYSMAL POSITIONAL ... and torsional nystagmus ... consistent with BPPV
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... reassuring for a PERIPHERAL ... Unidirectional #Nystagmus ... #HINTS #PhysicalExam ... Negative #Neurology #Peripheral
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central vs Peripheral ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... Vertigo #Central #Peripheral
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
the Diagnosis of BPPV ... identify posterior BPPV ... patient in supine position ... But a downbeat nystagmus ... #neurology #PhysicalExam