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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 - ... Differentiating Central vs ... 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 ... you'll encounter as ... #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 ... as more likely ... #Algorithm #Differential
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... central cause of AVS ... a stand-alone test ... 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 ... intervals #Dizziness ... Vertigo #Algorithm #differential
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 ... patient’s head as ... #DixHallpike #Maneuver
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
patients with AVS ... care physician; AVS ... , Nystagmus, and ... Test of Skew. ... #Diagnosis #AVS