53 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Head Impulse Test ... Nystagmus Test ... #PhysicalExam #Testing ... #Vertigo #Central ... #Peripheral #Neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
- Vascular - Stroke ... Eric Strong @DrEricStrong ... - Strong Medicine ... #Causes #differential ... #diagnosis #neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

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

This patient as a normal head impulse
Normal Head Impulse Test ... = Central Cause ... cause of vertigo ... Clinical #Video #Neurology ... #Vertigo #Central
Causes of Vertigo - Differential Diagnosis Algorithm
#Diagnosis #Neurology #Dizziness #Peripheral #Central #Algorithm #BPPV #Differential #Ddxof
Causes of Vertigo ... - Differential ... Algorithm #Diagnosis #Neurology ... Dizziness #Peripheral #Central ... Algorithm #BPPV #Differential
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... may be present Central ... Positive Hallpike test ... or supine roll test ... #Algorithm #differential
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... labyrinthitis) CENTRAL ... can be severe in stroke ... #Peripheral #Central ... symptoms #comparison #neurology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... for Stroke Subtle ... test characteristics ... #Stroke #physicalexam ... #diagnosis #neurology
Vertigo Differential Diagnosis and Management Algorithm
Vertigo: Symptom of illusory movement because of asymmetry in the vestibular
Vertigo Differential ... Management Algorithm Vertigo ... vestibular nerve, or central ... Management #Algorithm #neurology ... #Differential
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... from Peripheral Vertigo ... following a finger) • Test ... #Peripheral #Vertigo ... #diagnosis #neurology