34 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... position change • Neurologic ... BPPV • Short-lived ... No auditory symptoms ... Long symptom-free
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... posterior canal BPPV ... (BPPV); worsens ... #signs #symptoms ... #comparison #neurology
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Classic Findings ... (BPPV) • Latency ... symptoms in head-hanging ... #dixhallpike #physicalexam ... #signs #bppv #vertigo
HINTS Exam - Bidirectional Nystagmus 

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

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

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

In a patient with vertigo symptoms, this
a patient with vertigo ... symptoms, this ... finding is reassuring ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... symptoms • Head ... consistent with BPPV ... #BPPV #Vestibular ... Labyrinthitis #diagnosis #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
(BPPV) - Short-lived ... Long symptom-free ... with significant neurologic ... attacks with varying neurologic ... differential #diagnosis #neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
a patient with vertigo ... symptoms, this ... normal finding is ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology