31 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... Varies • No neurologic ... change • Neurologic ... Positive Hallpike ... differential #diagnosis #neurology
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... Peripheral Causes ... Benign paroxysmal positional ... #Peripheral #Central ... differential #diagnosis #neurology
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Vertigo Head ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Central #Peripheral ... #Neurology
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
reassuring for a PERIPHERAL ... cause of vertigo ... Nystagmus #HINTS #PhysicalExam ... Video #Negative #Neurology ... #Peripheral #Vertigo
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
reassuring for a PERIPHERAL ... cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Peripheral
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... PERIPHERAL VERTIGO ... (Wallenberg's syndrome ... Syndrome usually ... #Peripheral #Central
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
Impulse Test = Peripheral ... cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Peripheral
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
a patient with vertigo ... Nystagmus #HINTS #PhysicalExam ... Clinical #Video #Positive ... #Neurology #Central ... #Vertigo
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
Impulse Test = Peripheral ... cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Peripheral
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... PERIPHERAL VERTIGO ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology