22 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... may be present Central ... vascular causes • Nystagmus ... auditory findings BPPV ... test (posterior
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 - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... Vertigo #diagnosis #neurology ... #bppv #comparison
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... worrisome for a CENTRAL ... #HINTS #PhysicalExam ... Clinical #Video #Positive ... #Neurology #Central
Primary Downbeat Nystagmus on Ocular Examination

Primary downbeat nystagmus, most evident on looking down and out .
Primary Downbeat ... Nystagmus on Ocular ... nystagmus, most ... clinical #video #physicalexam ... #neurology #ophthalmology
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
During Hallpike Test ... Positional Vertigo (BPPV ... in head-hanging position ... #dixhallpike #physicalexam ... findings #signs #bppv
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... HIT) result is positive ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Positional Vertigo (BPPV ... : Positive usually ... and torsional nystagmus ... consistent with BPPV ... Labyrinthitis #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... labyrinthitis) CENTRAL ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
Characteristic eye movements found in Downbeat Nystagmus

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