9 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... Central #Peripheral #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... (posterior canal ... differential #diagnosis #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
The test is positive ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
(Nylen Barany test ... used to identify posterior ... indicates posterior ... Diagnosis #BPPV #neurology ... #PhysicalExam
Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
(Nylen Barany test ... used to identify posterior ... indicates posterior ... Diagnosis #BPPV #neurology ... #Animated #PhysicalExam
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Allow any nystagmus ... Again, allow any nystagmus ... #neurology #instructions ... clinical #video #physicalexam ... #management
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Allow any nystagmus ... Again, allow any nystagmus ... #neurology #instructions ... clinical #video #physicalexam ... #management