145 results
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
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Latency (delay in nystagmus ... and torsional nystagmus ... and nystagmus escalates ... 30 seconds • Nystagmus ... #dixhallpike #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
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
of Dizziness - Vertigo ... Algorithm True Vertigo ... unidirectonal nystagmus ... Paroxysmal Positional Vertigo ... bidirectional 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
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 ... present Central Vertigo ... vascular causes • Nystagmus
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... BPPV); worsens vertigo ... circulation TIA • Nystagmus
Nystagmus: Rapid, rhythmic, repetitious, and involuntary eye movements. Nystagmus can be horizontal, vertical, or rotary.

The Bridge
Nystagmus: Rapid ... Nystagmus can be ... TheBridgeKAU #Nystagmus ... Clinical #Video #PhysicalExam
Pendular Nystagmus on Ocular Exam

Pendular nystagmus seen in this patient with multiple sclerosis

#Pendular #Nystagmus #Ocular #PhysicalExam
Pendular Nystagmus ... Exam Pendular nystagmus ... #Pendular #Nystagmus ... #Ocular #PhysicalExam