29 results
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... the head) • Hallpike ... ) • Epley maneuver ... seen) • Epley maneuver ... Labyrinthitis #diagnosis #neurology
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... vs Peripheral Vertigo ... #Exam #PhysicalExam ... #Testing #Vertigo ... Central #Peripheral #Neurology
HINTS Exam - Bidirectional Nystagmus 

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

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

In a patient with vertigo symptoms, this
HINTS Exam - Abnormal ... a patient with vertigo ... Vertical #Skew #Test #HINTS ... #PhysicalExam # ... Clinical #Video #Neurology
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Findings During Hallpike ... Benign Paroxysmal Positional ... in head-hanging position ... in head-hanging position ... #dixhallpike #physicalexam
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
HINTS Exam - Normal ... a patient with vertigo ... Vertical #Skew #Test #HINTS ... #PhysicalExam # ... Clinical #Video #Neurology
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
Targeted Exam: HINTS ... , Dix-Hallpike, ... • Vestibular (vertigo ... differential #diagnosis #neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
HINTS Exam - Normal ... a patient with vertigo ... HeadImpulse #Test #HINTS ... #PhysicalExam # ... Clinical #Video #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... worsen with head position ... change • Neurologic ... • Short-lived, positional ... Positive Hallpike