15 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Vertigo Head ... Impulse Test Nystagmus ... Test of Skew ... #HINTS #Exam #PhysicalExam ... #Neurology
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
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... minutes to days • Nystagmus ... vascular causes • Nystagmus ... (posterior canal ... differential #diagnosis #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Vertigo • Head ... examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #neurology #bppv
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Normal Test ... Vertical #Skew #Test ... #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Peripheral
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

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

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... cause of vertigo ... #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Peripheral
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
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
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