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.
Differentiating Central vs Peripheral ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... Vertigo #Central #Peripheral ... #Neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Rotary Movement Peripheral ... unidirectonal nystagmus ... • Meniere's Disease ... bidirectional nystagmus ... Dizziness #Vertigo #Neurology
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
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 ... Posterior #CVA #Peripheral
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 ... test Méniére's disease
Wing-Beating Tremor of Wilson's Disease

Characterized by low frequency, high amplitude, near arm tremor caused by continuous
Tremor of Wilson's Disease ... the arms, with elbows ... Tremor #Wilsons #Disease ... clinical #video #neurology ... #copper #physicalexam
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... vestibular neuritis • Nystagmus ... tinnitus (Méniére's disease ... 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
Tremor of Wilson's Disease ... the arms, with elbows ... Tremor #Wilsons #Disease ... clinical #video #neurology ... #copper #physicalexam
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
for Median Nerve Peripheral ... Neuropathy Elbow ... Tension #Test #Peripheral ... clinical #video #physicalexam ... #orthopedics #neurology