32 results
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... (BPPV) • Latency ... (delay in nystagmus ... #dixhallpike #physicalexam ... findings #signs #bppv
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #diagnosis #neurology ... #bppv #comparison
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... minutes to days • Nystagmus ... vascular causes • Nystagmus ... auditory findings BPPV ... #differential #diagnosis
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 ... #HINTS #Exam #PhysicalExam ... Central #Peripheral #Neurology
HINTS Exam - Bidirectional Nystagmus 

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

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... Video by Dr. ... #HINTS #PhysicalExam ... #Clinical #Video ... #Negative #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
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... (BPPV); worsens ... circulation TIA • Nystagmus ... #diagnosis #findings ... symptoms #comparison #neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... Video by Dr. ... #HINTS #PhysicalExam ... #Clinical #Video ... #Neurology #Vertigo
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Normal Test ... Video by Dr. ... #HINTS #PhysicalExam ... #Clinical #Video ... #Neurology #Vertigo