13 results
HINTS Exam - Unidirectional Nystagmus - Left-beating

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

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Vertigo Head ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... minutes to days • Nystagmus ... worsen with head position ... Hallpike test (posterior ... differential #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... forehead) in classic posterior ... , such as with posterior ... symptoms #comparison #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Rotary Movement Peripheral ... unidirectonal nystagmus ... Benign Paroxysmal Positional ... bidirectional nystagmus ... #Neurology #Differential
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Vertigo • Head ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #Vertigo #diagnosis ... #neurology #bppv
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... PERIPHERAL VERTIGO ... Occlusion of posterior ... #Peripheral #Central ... differential #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior ... #CVA #Peripheral
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Allow any nystagmus ... or vertigo to subside ... Again, allow any nystagmus ... #vertigo #neurology ... clinical #video #physicalexam
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Allow any nystagmus ... or vertigo to subside ... Again, allow any nystagmus ... #vertigo #neurology ... clinical #video #physicalexam