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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 - ... Head Impulse Test ... Nystagmus Test ... JayLin3455 #HINTS
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... a stand-alone test ... with an AVS with nystagmus ... #Testing #HIT #HINTS
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
Dix-Hallpike Maneuver ... 45° towards the test ... throughout the test ... Nystagmus 2. ... affected ear #Dix
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
(HINTS = head-impulse ... , nystagmus, test
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
largely based on the HINTS ... different (see text ... , Head Impulse Test ... , Nystagmus, and ... Test of Skew.
Dix-Hallpike Maneuver for the Diagnosis of BPPV (Animated)

The Dix–Hallpike test (Nylen Barany test) is a diagnostic
Dix-Hallpike Maneuver ... Animated) The Dix–Hallpike ... test (Nylen Barany ... test) is a diagnostic ... #Dix #Hallpike #
Dix-Hallpike Maneuver for the Diagnosis of BPPV
The Dix–Hallpike test (Nylen Barany test) is a diagnostic maneuver
Dix-Hallpike Maneuver ... test (Nylen Barany ... test) is a diagnostic ... should repeat this test ... #Dix #Hallpike #
Dix-HaIlpike Maneuver
 • Turn head to 45° and then rapidly lay patient to a supine position
Dix-HaIlpike Maneuver ... The test is positive ... is rotational nystagmus ... TylerLarsenMD #Dix