9 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 - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... Vertigo #diagnosis #neurology
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
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo Peripheral ... minutes to days • Nystagmus ... may be present Central ... vascular causes • Nystagmus ... Positive Hallpike
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... : Purely vertical ... symptoms #comparison #neurology
Vertical Nystagmus on Slit Lamp Ocular Examination

Often an indicator of a central lesion. This patient was
Vertical Nystagmus ... indicator of a central ... ophthalmobcn #Vertical ... #Nystagmus #PhysicalExam ... ophthalmology #neurology
Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
Dix-Hallpike Maneuver ... component : vertical ... In the vertical ... Diagnosis #BPPV #neurology ... #Animated #PhysicalExam
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
Dix-Hallpike Maneuver ... component : vertical ... In the vertical ... Diagnosis #BPPV #neurology ... #PhysicalExam
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
common of the central ... symptomatic from vertical ... #Vertical #Ophthalmology ... #Neurology #Clinical ... Video #Ocular #PhysicalExam