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It can be difficult to distinguish these three entities.
There are two diagnostic hints for further differentiation:
-
two diagnostic hints ... bronchiolitis or chronic pulmonary ... right with the pulmonary ... penicillamine) #Clinical
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
HINTS Exam - Bidirectional ... Bidirectional #Nystagmus #HINTS ... #PhysicalExam #Clinical
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
HINTS Exam - Unidirectional ... Unidirectional #Nystagmus #HINTS ... #PhysicalExam #Clinical
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
HINTS Exam - Abnormal ... Vertical #Skew #Test #HINTS ... #PhysicalExam #Clinical
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... JayLin3455 #HINTS
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

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

This video demonstrates:
1) Normal Head Impulse Test
HINTS Exam - Abnormal ... HeadImpulse #Test #HINTS ... #PhysicalExam #Clinical
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
HINTS Exam - Normal ... HeadImpulse #Test #HINTS ... #PhysicalExam #Clinical
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
HINTS Exam - Abnormal ... HeadImpulse #Test #HINTS ... #PhysicalExam #Clinical
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... TylerLarsenMD #HINTS