8 results
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Vertigo • Head ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #neurology #bppv ... #comparison #table
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Peripheral Vertigo ... minutes to days • Nystagmus ... auditory findings BPPV ... #diagnosis #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Differential Diagnosis Algorithm ... Rotary Movement Peripheral ... unidirectonal nystagmus ... Benign Paroxysmal Positional ... bidirectional nystagmus
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
patient to a supine position ... 20° over end of table ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
for Treatment of BPPV ... the examination table ... Allow any nystagmus ... #positional #vertigo ... clinical #video #physicalexam
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
for Treatment of BPPV ... the examination table ... Allow any nystagmus ... #positional #vertigo ... clinical #video #physicalexam
Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
Benign paroxysmal positional ... vertigo (BPPV) ... neuritis • Clues: Vertigo ... Examples: - Peripheral ... • Clues: Joint pain