15 results
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #diagnosis #neurology ... #bppv #comparison ... #table
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... with vascular causes ... circulation TIA • Nystagmus ... signs #symptoms #comparison ... #neurology
HINTS Exam - Bidirectional Nystagmus 

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

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... for a PERIPHERAL cause ... Unidirectional #Nystagmus ... #HINTS #PhysicalExam ... Video #Negative #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... with vascular causes ... • Nystagmus: ... auditory findings BPPV ... positional episodes caused
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
Peripheral Vertigo ... distinguishing between causes ... (BPPV): - Timing ... differential #diagnosis #comparison ... #table
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus ... in PSC BPPV after ... Maneuver This is a case ... clinical #video #physicalexam ... ophthalmology #neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... and torsional nystagmus ... consistent with BPPV ... Labyrinthitis #diagnosis #neurology ... #comparison
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Ocular Nystagmus ... in PSC BPPV after ... Maneuver This is a case ... clinical #video #physicalexam ... ophthalmology #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
20° over end of table ... is rotational nystagmus ... HaIlpike #Maneuver #neurology ... #vertigo #bppv