10 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
The HINTS Exam - ... Differentiating Central vs ... Head Impulse Test ... Nystagmus Test ... Central #Peripheral #Neurology
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 nystagmus. ... #PhysicalExam #Neurology ... #Testing #HIT #HINTS
Dizziness and lightheadedness are common complaints that you'll encounter as a medical professional. The goal of
Dizziness and lightheadedness ... you'll encounter as ... #Dizziness #lightheadedness ... #stroke #HiNTS ... #nystagmus #saccade
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 ... Vertigo #diagnosis #neurology
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 ... ) that provoke dizziness ... as more likely
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Algorithm for Dizziness ... minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... intervals #Dizziness
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
HINTS Exam - Normal ... Head Impulse Test ... This patient as ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
patients with AVS ... components: targeted neurologic ... , Head Impulse Test ... , Nystagmus, and ... Test of Skew.
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
45° towards the test ... throughout the test ... patient’s head as ... occurs as follows ... Instructions #Diagnosis #neurology
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
Downbeat Nystagmus ... difficulty and dizziness ... Why downbeat nystagmus ... movements seen as ... ophthalmology #neurology