58 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... vascular causes • Nystagmus ... auditory findings BPPV ... #Algorithm #differential ... #diagnosis #neurology
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... Video by Dr. ... #HINTS #PhysicalExam ... #Clinical #Video ... #Positive #Neurology
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... (BPPV) • Latency ... in head-hanging position ... #dixhallpike #physicalexam ... findings #signs #bppv
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
(BPPV) From Vestibular ... : Positive usually ... and torsional nystagmus ... consistent with BPPV ... Labyrinthitis #diagnosis #neurology
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... Central #Peripheral #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #diagnosis #neurology ... #bppv #comparison
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... Video by Dr. ... #HINTS #PhysicalExam ... #Clinical #Video ... #Negative #Neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... nose) • Head Position ... worsen with head position ... symptoms #comparison #neurology
Horizontal Nystagmus on Ocular Examination

Dr Prasad Jain @DrPrasadJain

#Horizontal #Nystagmus #Ocular #PhysicalExam #clinical #video #neurology #ophthalmology
Horizontal Nystagmus ... on Ocular Examination ... #Ocular #PhysicalExam ... #clinical #video ... #neurology #ophthalmology
Pendular Nystagmus on Ocular Exam

Pendular nystagmus seen in this patient with multiple sclerosis

#Pendular #Nystagmus #Ocular #PhysicalExam
Pendular Nystagmus ... on Ocular Exam ... #Ocular #PhysicalExam ... #clinical #video ... multiple #sclerosis #neurology