22 results
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
(BPPV) • Latency ... (delay in nystagmus ... and torsional nystagmus ... #dixhallpike #physicalexam ... findings #signs #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
than a minute for BPPV ... vestibular neuritis • Nystagmus ... posterior canal BPPV ... (BPPV); worsens ... circulation TIA • Nystagmus
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... Central #Peripheral #Vertigo ... diagnosis #neurology #bppv
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... a patient with vertigo ... CENTRAL cause of vertigo ... Bidirectional #Nystagmus ... #HINTS #PhysicalExam
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... a patient with vertigo ... PERIPHERAL cause of vertigo ... Unidirectional #Nystagmus ... #HINTS #PhysicalExam
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo ... Peripheral Vertigo ... minutes to days • Nystagmus ... vascular causes • Nystagmus ... auditory findings BPPV
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Paroxysmal Positional Vertigo ... (BPPV) From Vestibular ... and torsional nystagmus ... consistent with BPPV ... #BPPV #Vestibular
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... in PSC BPPV after ... sudhir_kothari #Ocular #Nystagmus ... #BPPV #Posterior ... clinical #video #physicalexam
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Ocular Nystagmus ... in PSC BPPV after ... semicircular canal BPPV ... #BPPV #Posterior ... clinical #video #physicalexam