46 results
HINTS Exam - Bidirectional Nystagmus 

In a patient with vertigo symptoms, this finding is worrisome for
Bidirectional Nystagmus ... symptoms, this ... worrisome for a CENTRAL ... Bidirectional #Nystagmus ... #PhysicalExam #Clinical
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
vomiting, auditory symptoms ... unidirectonal nystagmus ... Bone Fracture Central ... /signs, bidirectional ... nystagmus - Infection
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 ... testing #findings #signs
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
Unidirectional Nystagmus ... a patient with vertigo ... symptoms, this ... Unidirectional #Nystagmus ... #PhysicalExam #Clinical
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Peripheral and Central ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... #findings #signs ... #symptoms #comparison
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 ... No auditory symptoms ... Long symptom-free
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew)

In a patient with vertigo symptoms, this
symptoms, this ... worrisome for a CENTRAL ... cause of vertigo ... #PhysicalExam #Clinical ... #Central
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis 1) Vertigo ... hearing loss Clinical ... vestibular CN VIII • Nystagmus ... Labyrinthitis #Diagnosis #Symptoms ... #Signs #Otolaryngology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central ... Long symptom-free ... CENTRAL VERTIGO ... varying neurologic signs ... #Peripheral #Central
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Impulse Test = Central ... symptoms, this ... cause of vertigo ... #PhysicalExam #Clinical ... #Central