9 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... worrisome for a CENTRAL ... #HINTS #PhysicalExam ... Video #Positive #Neurology ... #Central #Vertigo
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... vs Peripheral Vertigo ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... #Neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Differential Diagnosis Algorithm ... unidirectonal nystagmus ... Benign Paroxysmal Positional ... Bone Fracture Central ... bidirectional nystagmus
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 ... worsen with head position ... #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... labyrinthitis) CENTRAL ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... from Peripheral Vertigo ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #neurology #bppv
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... /nystagmus - Vestibular ... Contralateral loss of pain ... Palatal myoclonus - Central ... #Wallenbergs #neurology
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Allow any nystagmus ... or vertigo to subside ... Again, allow any nystagmus ... #vertigo #neurology ... clinical #video #physicalexam
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
Allow any nystagmus ... or vertigo to subside ... Again, allow any nystagmus ... #vertigo #neurology ... clinical #video #physicalexam