13 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Impulse Test Nystagmus ... #Exam #PhysicalExam ... #Testing #Vertigo ... #Central #Peripheral
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
result is positive (abnormal ... with nystagmus. ... #Diagnosis #PhysicalExam ... #Testing #HIT # ... HINTS
HINTS Exam - Unidirectional Nystagmus - Left-beating

In a patient with vertigo symptoms, this finding is reassuring
HINTS Exam - Unidirectional ... Nystagmus - Left-beating ... reassuring for a PERIPHERAL ... Unidirectional #Nystagmus ... #HINTS #PhysicalExam
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... Central from Peripheral ... examiners nose • Nystagmus ... #physicalexam # ... Central #Peripheral
Seesaw nystagmus 
-> eye move in an opposed vertical fashion (one goes up while the other
Seesaw nystagmus ... Seesaw nystagmus ... a sequence of abnormal ... one eye moves up as ... #eye #ocular #PhysicalExam
Seesaw Nystagmus 

Sawtooth or seesaw nystagmus is an unusual but characteristic type of nystagmus. Typically there
Seesaw Nystagmus ... Sawtooth or seesaw ... Typically there is twisting ... varied causes, such as ... #physicalexam #
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
HINTS Exam - Normal ... Impulse Test = Central ... This patient as ... HeadImpulse #Test #HINTS ... #PhysicalExam #
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
and Central Vertigo ... PERIPHERAL VERTIGO ... vestibular neuritis • Nystagmus ... vascular causes, such as ... circulation TIA • Nystagmus
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
patients with AVS ... if the cause is peripheral ... CNS, Central nervous ... Impulse Test, Nystagmus ... #Diagnosis #AVS
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
(HINTS = head-impulse ... , nystagmus, test ... the dizziness as ... or central in etiology ... or central TiTrATE