16 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central vs ... Peripheral Vertigo ... 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
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... with nystagmus. ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior
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
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... This patient as ... normal head impulse test ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... forehead) in classic posterior ... vascular causes, such as ... with posterior ... symptoms #comparison #neurology
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
Froment’s Test for ... Ulnar Nerve Palsy ... flat object such as ... clinical #video #neurology ... #physicalexam #
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
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
A nystagmus in far ... presentation is known as ... abduction with nystagmus ... Half #Syndrome #PhysicalExam ... ophthalmology #neurology
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