49 results
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Distinguishing Central ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... Vertigo #diagnosis #neurology ... #bppv #comparison
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
Differentiating Central ... Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... #Peripheral #Neurology
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
Exam - Abnormal Test ... worrisome for a CENTRAL ... #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Central
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... = Central Cause ... normal head impulse test ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... may be present Central ... auditory findings BPPV ... Positive Hallpike test ... or supine roll test
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Nystagmus in PSC BPPV ... after Dix Hallpike ... #Posterior #Dix ... clinical #video #physicalexam ... ophthalmology #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... patients with a central ... a stand-alone test ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of right posterior semicircular
Nystagmus in PSC BPPV ... after Dix Hallpike ... #Posterior #Dix ... clinical #video #physicalexam ... ophthalmology #neurology
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... for BPPV Procedure ... 45° towards the test ... throughout the test ... Instructions #Diagnosis #neurology
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Dix-HaIlpike Maneuver ... The test is positive ... HaIlpike #Maneuver #neurology ... #vertigo #bppv ... #management