46 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... for a CENTRAL cause ... of vertigo. ... Vertical #Skew #Test ... #HINTS #PhysicalExam
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... a patient with vertigo ... for a PERIPHERAL cause ... of vertigo. ... #HINTS #PhysicalExam
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Normal Test ... for a PERIPHERAL cause ... of vertigo. ... Vertical #Skew #Test ... #HINTS #PhysicalExam
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... = Central Cause ... for a CENTRAL cause ... of vertigo. ... #HINTS #PhysicalExam
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... nystagmus and vertigo ... with repeated testing ... #dixhallpike #physicalexam ... #testing #findings
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
= Peripheral Cause ... a patient with vertigo ... for a PERIPHERAL cause ... of vertigo. ... #HINTS #PhysicalExam
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
with vascular causes ... positional episodes caused ... Positive Hallpike test ... or supine roll test ... Méniére's disease
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Nystagmus - Left-beating ... a patient with vertigo ... for a PERIPHERAL cause ... of vertigo. ... Nystagmus #HINTS #PhysicalExam
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... distinguishing between causes ... Continuous episodes, lasting ... prodrome Meniere's Disease ... Recurrent episodes lasting