16 results
HINTS Exam - Unidirectional Nystagmus - Left-beating

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

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... Differentiating Central vs Peripheral ... Impulse Test Nystagmus ... JayLin3455 #HINTS ... Vertigo #Central #Peripheral
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... Central from Peripheral ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS ... #Vertigo #diagnosis
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a peripheral ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... Posterior #CVA #Peripheral ... #Testing #HIT #HINTS
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
Targeted Exam: HINTS ... , Dix-Hallpike, ... #differential #diagnosis
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
Algorithm for the diagnostic ... (HINTS = head-impulse ... , nystagmus, test ... more likely to be peripheral ... the etiology is peripheral
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Dizziness and Vertigo Peripheral ... minutes to days • Nystagmus ... Positive Hallpike ... #differential #diagnosis
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
the head) • Hallpike ... and torsional nystagmus ... : Constant • Hallpike ... to administer Hallpike ... Labyrinthitis #diagnosis
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... Nystagmus 2. ... right ear, the nystagmus ... affected ear #Dix #Hallpike ... #Instructions #Diagnosis
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential Diagnosis ... Rotary Movement Peripheral ... unidirectonal nystagmus ... bidirectional nystagmus ... #Differential #Diagnosis