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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
Dizziness and lightheadedness are common complaints that you'll encounter as a medical professional. The goal of
Dizziness and lightheadedness ... #Dizziness #lightheadedness ... #stroke #HiNTS ... #nystagmus #saccade
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
evaluation of dizziness ... (HINTS = head-impulse ... , nystagmus, test ... and evolution of dizziness ... ) that provoke dizziness
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
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Algorithm for Dizziness ... minutes to days • Nystagmus ... vascular causes • Nystagmus ... or supine roll test ... intervals #Dizziness
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.