7 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Jay Lin @JayLin3455 ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

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

This patient as a normal head impulse
as a normal head ... cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
result is positive (abnormal ... cause of AVS. ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... labyrinthitis) CENTRAL ... with vascular causes ... , such as with posterior ... symptoms #comparison #neurology
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
ptotic eyelid will cause ... droop (Hering's law ... ) • Testing eyelid ... vital capacity • Testing ... Myasthenia #Gravis #PhysicalExam
Hemimasticatory Spasm on Physical Exam

Hemimasticatory spasm is a disorder of the trigeminal nerve → involuntary jaw
→ involuntary jaw ... patient had a normal ... Myokimia will cause ... movement and trismus as ... spasm #trigeminal #PhysicalExam