14 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Impulse Test Nystagmus ... #HINTS #Exam #PhysicalExam ... #Central #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
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... reassuring for a PERIPHERAL ... #HINTS #PhysicalExam ... Video #Negative #Neurology ... #Peripheral #Vertigo
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... #neurology #bppv
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 - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
of Skew (Normal Vertical ... reassuring for a PERIPHERAL ... #Test #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Peripheral
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... : Purely vertical ... #Central #Vertigo ... symptoms #comparison #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Rotary Movement Peripheral ... unidirectonal nystagmus ... Bone Fracture Central ... bidirectional nystagmus ... #Neurology #Differential
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... minutes to days • Nystagmus ... Varies • No neurologic ... may be present Central ... vascular causes • Nystagmus
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
patients with a peripheral ... patients with a central ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS