6 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 - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
from Peripheral ... examiners nose • Nystagmus ... TylerLarsenMD #HINTS #physicalexam ... #Central #Peripheral ... #neurology #bppv
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... #Central #Vertigo ... symptoms #comparison #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Illusion of Rotary Movement ... Peripheral Vestibular ... unidirectonal nystagmus ... Bone Fracture Central ... bidirectional nystagmus
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Peripheral Vertigo ... minutes to days • Nystagmus ... may be present Central ... vascular causes • Nystagmus ... auditory findings BPPV
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Characteristic eye movements ... common of the central ... #Vertical #Ophthalmology ... #Neurology #Clinical ... Video #Ocular #PhysicalExam