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The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... #Exam #PhysicalExam ... #Testing #Vertigo ... #Central #Peripheral ... #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
#Diagnosis #PhysicalExam ... #Neurology #AVS ... #CVA #Peripheral ... #Testing #HIT # ... HINTS
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Central from Peripheral ... following a finger) • Test ... #physicalexam # ... Central #Peripheral ... Vertigo #diagnosis #neurology
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
components: targeted neurologic ... if the cause is peripheral ... CNS, Central nervous ... Diagnosis #AVS #Posterior ... #CVA #HINTS #Exam
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... Occlusion of posterior ... (Wallenberg's syndrome ... Syndrome usually ... #Peripheral #Central
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Seizures • Altered mental ... may precede the neurologic ... narrowing on MRA/CTA ... thrombosis Testing ... diagnosis #management #neurology
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
of breath • Neurologic ... deficits (peripheral ... Superior Vena Cava ... • Dyspnea at rest ... Progressive decline in mental
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
~5th decade → peripheral ... GHRH release, central ... Beckwith Wiedemann syndrome ... glucose suppression test ... • Pituitary testing
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
Down syndrome is ... Central cyanosis ... assessment, is best ... Newborn #Infant #PhysicalExam ... Examination #Peds #Pediatrics