210 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... Central #Peripheral #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Nystagmus - Left-beating ... a patient with vertigo ... Nystagmus #HINTS #PhysicalExam ... #Clinical #Video ... #Negative #Neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Central Causes of Vertigo ... fistula, Cogan's syndrome ... Wallenberg syndrome ... Central #Causes #differential ... #diagnosis #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... Nystagmus #HINTS #PhysicalExam ... #Clinical #Video ... #Positive #Neurology ... #Central #Vertigo
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
a patient with vertigo ... CENTRAL cause of vertigo ... #Test #HINTS #PhysicalExam ... #Clinical #Video ... #Neurology #Vertigo
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
a patient with vertigo ... PERIPHERAL cause of vertigo ... #Test #HINTS #PhysicalExam ... #Clinical #Video ... #Neurology #Vertigo
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
usually lasting ... (Wallenberg's syndrome ... Syndrome usually ... #Causes #differential ... #diagnosis #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
- Wallenberg's Syndrome ... Acute continuous vertigo ... Artery occlusion) Clinical ... Nausea/vomiting/vertigo ... #Wallenbergs #neurology
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
a patient with vertigo ... PERIPHERAL cause of vertigo ... #Test #HINTS #PhysicalExam ... #Clinical #Video ... #Neurology #Vertigo
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
a patient with vertigo ... CENTRAL cause of vertigo ... #Test #HINTS #PhysicalExam ... #Clinical #Video ... #Neurology #Vertigo