15 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... cause of vertigo ... #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
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... for a PERIPHERAL cause ... Unidirectional #Nystagmus ... #HINTS #PhysicalExam ... Video #Negative #Neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
unidirectonal nystagmus ... Bone Fracture Central ... bidirectional nystagmus ... #Neurology #Differential ... Diagnosis #Algorithm #Causes
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
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
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... may be present Central ... with vascular causes ... • Nystagmus: ... positional episodes caused
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Cause This patient ... cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... with vascular causes ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
Lateral Medullary Syndrome - Wallenberg's Syndrome
Acute continuous vertigo due to Posterior Circulation Stroke (usually Posterior Inferior
Acute continuous vertigo ... Clinical Findings: • Nausea ... /vomiting/vertigo ... /nystagmus - Vestibular ... Palatal myoclonus - Central