28 results
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 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 ... #Neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Skew (Abnormal Vertical ... worrisome for a CENTRAL ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... a patient with vertigo ... Unidirectional #Nystagmus ... #HINTS #PhysicalExam ... Video #Negative #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... from Peripheral Vertigo ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #neurology #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... : Purely vertical ... symptoms #comparison #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
unidirectonal nystagmus ... Bone Fracture Central ... Dysfunction - Imbalance, neurologic ... bidirectional nystagmus ... #Neurology #Differential
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
of Skew (Normal Vertical ... a patient with vertigo ... PeterJohns84 #Normal #Vertical ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... may be present Central ... vascular causes • Nystagmus ... position change • Neurologic
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Impulse Test = Central ... cause of vertigo ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central