59 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... Central #Peripheral #Neurology
HINTS Exam - Bidirectional Nystagmus 

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

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

In a patient with vertigo symptoms, this
a patient with vertigo ... CENTRAL cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... Varies • No neurologic ... position change • Neurologic ... Hallpike test (posterior ... differential #diagnosis #neurology
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
a patient with vertigo ... PERIPHERAL cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Peripheral
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... due to Posterior ... Stroke (usually Posterior ... Nausea/vomiting/vertigo ... #Wallenbergs #neurology
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

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

This patient as a normal head impulse
a patient with vertigo ... CENTRAL cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... forehead) in classic posterior ... , such as with posterior ... symptoms #comparison #neurology