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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 - ... Differentiating Central vs ... Peripheral Vertigo ... #PhysicalExam #Testing ... #Neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... a stand-alone test ... #PhysicalExam #Neurology ... #HeadImpulse #Testing ... #HIT #HINTS
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... patients with AVS ... components: targeted neurologic ... because HINTS testing ... if the cause is peripheral
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
diagnostic evaluation ... (HINTS = head-impulse ... , nystagmus, test ... the dizziness as ... more likely to be peripheral
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... event, follow ACC algorithm ... determine if stress test ... - Aortic - Peripheral ... one post op Cardiology
 The following #reflexes are routinely tested, and the response elicited is graded from zero to
reflex hammer hits ... patellar reflex testing ... a pin from the periphery ... Wrist clonus is ... extension of the wrists