18 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... Video by Dr. ... #HINTS #PhysicalExam ... #Positive #Neurology ... #Central #Vertigo
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #neurology #bppv ... #comparison #table
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... Video by Dr. ... #HINTS #PhysicalExam ... #Clinical #Video ... #Negative #Neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Central Vertigo ... vestibular neuritis • Nystagmus ... labyrinthitis) CENTRAL ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... may be present Central ... vascular causes • Nystagmus ... auditory findings BPPV
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
test to the left and ... Video by Dr. ... #Test #HINTS #PhysicalExam ... #Clinical #Video ... #Neurology #Vertigo
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... torsional nystagmus ... impulse test: Negative ... consistent with BPPV ... Labyrinthitis #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
peripheral cause of AVS and ... negative (normal ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
the examination table ... patient's head and ... #neurology #instructions ... #clinical #video ... #physicalexam #
Semont Liberatory Maneuver for Treatment of BPPV
1) The patient is seated upright on the side of
the examination table ... patient's head and ... #neurology #instructions ... #clinical #video ... #physicalexam #