14 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... #HINTS #Exam #PhysicalExam ... #Testing #Vertigo ... #Central #Peripheral ... #Neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... #Central #Vertigo ... diagnosis #findings #signs ... symptoms #comparison #neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... #neurology #bppv
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
#Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior #CVA ... #Peripheral #Central ... #HeadImpulse #Testing
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... (BPPV) • Latency ... #dixhallpike #physicalexam ... #testing #findings ... #signs #bppv #vertigo
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Vertigo Peripheral ... Varies • No neurologic ... may be present Central ... auditory findings BPPV ... or supine roll test
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
and Central Vertigo ... PERIPHERAL VERTIGO ... (BPPV) - Short-lived ... CENTRAL VERTIGO ... #Peripheral #Central
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
components: targeted neurologic ... and gait ataxia ... if the cause is peripheral ... CNS, Central nervous ... AVS #Posterior #CVA
Foster Maneuver (half somersault maneuver) for Treatment of BPPV
Some patient find this maneuver more easier with
for Treatment of BPPV ... Wait for any vertigo ... #neurology #instructions ... clinical #video #physicalexam ... #management
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
~5th decade → peripheral ... Mortality due to CVD ... GHRH release, central ... glucose suppression test ... • Pituitary testing