11 results
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Dizziness and Vertigo Peripheral ... minutes to days • Nystagmus ... present Central ... vascular causes • Nystagmus ... BPPV • Short-lived
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... symptoms #comparison #neurology
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 ... #Central #Peripheral ... Vertigo #diagnosis #neurology ... #bppv #comparison
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
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... symptoms, this finding ... #HINTS #PhysicalExam ... Clinical #Video #Positive ... #Neurology #Central
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Classic Findings ... During Hallpike Test ... Positional Vertigo (BPPV ... #dixhallpike #physicalexam ... #testing #findings
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Peripheral Neuropathy ... is positive with ... #Peripheral #Nerve ... clinical #video #physicalexam ... #orthopedics #neurology
Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
the Diagnosis of BPPV ... (Nylen Barany test ... patient in supine position ... #neurology #Animated ... #PhysicalExam
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
the Diagnosis of BPPV ... The Dix–Hallpike test ... (Nylen Barany test ... patient in supine position ... #neurology #PhysicalExam