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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 ... Head Impulse Test ... Nystagmus Test ... PhysicalExam #Testing #Vertigo
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... Latency (delay in nystagmus ... and torsional nystagmus ... and nystagmus escalates ... 30 seconds • Nystagmus
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... vascular causes • Nystagmus ... Positive Hallpike test ... or supine roll test ... Positive head impulse test
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 ... Neurology #Central #Vertigo
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 ... Neurology #Peripheral #Vertigo
Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
ACL), anterior drawer ... meniscal integrity) tests ... Apley #McMurray #Drawer ... #Test #msk
Anterior Cruciate Ligament Injury seen with positive Anterior Drawer Test

#Anterior #Cruciate #Ligament #ACL #Injury #Drawer #Test
positive Anterior Drawer ... Test #Anterior ... #ACL #Injury #Drawer ... #Test #physicalexam
Positive posterior drawer test - Knee Physical Exam

#Posterior #Drawer #Test #Knee #Video #PhysicalExam #Clinical #PCL #Positive
Positive posterior drawer ... test - Knee Physical ... #Posterior #Drawer ... #Test #Knee #Video
Positive Anterior Drawer Test in ACL Injury

Medical Vids
@TheMedicalVids

#ACL #Anterior #Drawer #Test #Positive #Clinical #Video #Knee #PhysicalExam
Positive Anterior Drawer ... Test in ACL Injury ... ACL #Anterior #Drawer ... #Test #Positive
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral Vertigo ... examiners nose • Nystagmus ... following a finger) • Test ... Central #Peripheral #Vertigo