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The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Nystagmus Test ... #PhysicalExam #Testing ... #Vertigo #Central ... #Peripheral #Neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
= Central Cause ... This patient as ... cause of vertigo ... Video by Dr. ... #Neurology #Vertigo
Peripheral and Central Causes of Vertigo
Peripheral Causes (Common):
 - Labyrinth: Benign paroxysmal positional vertigo, Méniére disease,
Peripheral and Central ... Causes of Vertigo ... Peripheral Causes ... a "central vertigo ... #Peripheral #Central
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... cause of AVS and ... cause of AVS. ... #PhysicalExam #Neurology ... #Testing #HIT #
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... may be present Central ... with vascular causes ... positional episodes caused ... Méniére's disease
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... tinnitus (Méniére's disease ... with vascular causes ... #Central #Vertigo
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... and Central Vertigo ... PERIPHERAL VERTIGO ... CENTRAL VERTIGO ... #Peripheral #Central
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
plateletcount), peripheral ... smear, HIV/HCV testing ... K), H. pylori test ... (CVID, WAS), (neurologic ... #Workup #hematology
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
patients with AVS ... components: targeted neurologic ... disposition, even if the cause ... is peripheral. ... CNS, Central nervous