15 results
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... Video by Dr. ... #HINTS #PhysicalExam ... #Negative #Neurology ... #Peripheral #Vertigo
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Vertigo • Head ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #neurology #bppv ... #comparison #table
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Vertigo Peripheral ... minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... auditory findings BPPV
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
cause of AVS and ... negative (normal ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Dropped Foot Gait - Paralysis of Dorsal Flexion of the Foot.
When trying to walk the tip
touches the ground and ... commonly observed in peripheral ... flaccidity of the leg and ... #Neurology #PhysicalExam ... #clinical #video
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 #
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Turn head to 45° and ... 20° over end of table ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv