35 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... symptoms, this ... for a CENTRAL cause ... Bidirectional #Nystagmus ... #HINTS #PhysicalExam
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... symptoms, this ... for a PERIPHERAL cause ... Unidirectional #Nystagmus ... #HINTS #PhysicalExam
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Causes of Dizziness ... vomiting, auditory symptoms ... unidirectonal nystagmus ... Imbalance, neurologic symptoms ... bidirectional nystagmus
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
Latency (delay in nystagmus ... symptoms in head-hanging ... and torsional nystagmus ... and nystagmus escalates ... #dixhallpike #physicalexam
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... with vascular causes ... • Nystagmus: ... No auditory symptoms ... Long symptom-free
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
a patient with vertigo ... symptoms, this ... for a CENTRAL cause ... of vertigo. ... #Test #HINTS #PhysicalExam
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
Convergence Retraction Nystagmus ... nerve palsy Caused ... Convergence #retraction #nystagmus ... #ocular #physicalexam ... video #neurology #ophthalmology
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
a patient with vertigo ... symptoms, this ... for a PERIPHERAL cause ... of vertigo. ... #Test #HINTS #PhysicalExam
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... with vascular causes ... circulation TIA • Nystagmus ... findings #signs #symptoms
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis 1) Vertigo ... instability 3) Nausea ... vestibular CN VIII • Nystagmus ... Labyrinthitis #Diagnosis #Symptoms