24 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... vs Peripheral Vertigo ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... #Peripheral #Neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... worrisome for a CENTRAL ... #HINTS #PhysicalExam ... Video #Positive #Neurology ... #Central #Vertigo
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a central ... with nystagmus. ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... CVA #Peripheral #Central
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... Vertigo #diagnosis #neurology
Characteristic eye movements found in spasmus nutans

Spasmus nutans is an acquired form of nystagmus that occurs
found in spasmus nutans ... Spasmus nutans ... It presents as a ... #Neurology #Clinical ... Video #Ocular #PhysicalExam
Characteristic eye movements found in Spasmus Nutans

Spasmus Nutans is an acquired form of nystagmus that occurs
found in Spasmus Nutans ... Spasmus Nutans ... It presents as a ... Ophthalmology #Neurology ... Video #Ocular #PhysicalExam
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... vascular causes, such as ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Impulse Test = Central ... This patient as ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
stiffness, and altered mental ... : Non-specific Kernig ... ; Spec: 60-80% Lumbar ... diagnosis #testing #physicalexam
Spasmus Nutans on Ocular Examination

At first I thought it was Pendular But a closer look reveals
acquired form of nystagmus ... It presents as a ... clinical triad of 1) nystagmus ... #Ocular #PhysicalExam ... ophthalmology #neurology