18 results
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... - Left-beating ... #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.
Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Central #Peripheral ... #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a peripheral ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Wing-Beating Tremor ... the arms, with elbows ... #Wing #Beating # ... clinical #video #neurology ... #copper #physicalexam
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central from Peripheral ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... Vertigo #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo Peripheral ... minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... Hearing loss.
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... vestibular neuritis • Nystagmus ... upbeat (fast phase beating ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Wing-Beating Tremor ... the arms, with elbows ... #Wing #Beating # ... clinical #video #neurology ... #copper #physicalexam
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Ocular Nystagmus ... canal BPPV with upbeating ... beating to left ... clinical #video #physicalexam ... ophthalmology #neurology
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Downbeat nystagmus ... Its jerk nystagmus ... differential for down-beating ... Ophthalmology #Neurology ... Video #Ocular #PhysicalExam