15 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... cause of vertigo ... Video by Dr. ... #PhysicalExam #Clinical ... #Neurology #Central
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Diagnosis Algorithm ... unidirectonal nystagmus ... Bone Fracture Central ... bidirectional nystagmus ... #Causes
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... for a PERIPHERAL cause ... Video by Dr. ... #PhysicalExam #Clinical ... #Neurology #Peripheral
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... may be present Central ... with vascular causes ... • Nystagmus:
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... from Peripheral Vertigo ... examiners nose • Nystagmus ... #diagnosis #neurology ... #bppv #comparison
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
cause of vertigo ... Video by Dr. ... #PhysicalExam #Clinical ... #Video #Neurology ... #Vertigo #Central
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
cause of vertigo ... Video by Dr. ... #PhysicalExam #Clinical ... #Video #Neurology ... #Vertigo #Central
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... with vascular causes ... #Vertigo #diagnosis ... signs #symptoms #comparison ... #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Artery occlusion) Clinical ... /nystagmus - Vestibular ... Palatal myoclonus - Central ... #Wallenbergs #neurology ... #diagnosis
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
and torsional nystagmus ... patient with a clinical ... patient with a clinical ... Labyrinthitis #diagnosis ... #neurology #comparison