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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 ... Head Impulse Test ... Nystagmus Test ... #PhysicalExam #Testing
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 ... #HeadImpulse #Testing ... #HIT #HINTS
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... Central from Peripheral ... examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
different (see text ... CNS, Central nervous ... , Head Impulse Test ... , Nystagmus, and ... Test of Skew.
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
(HINTS = head-impulse ... , nystagmus, test ... peripheral or central ... peripheral or central ... Dizziness #Algorithm #Differential
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... may be present Central ... vascular causes • Nystagmus ... or supine roll test ... Vertigo #Algorithm #differential
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Downbeat nystagmus ... common of the central ... Its jerk nystagmus ... The differential ... for down-beating
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
GHRH release, central ... Differential Diagnosis ... glucose suppression test ... • Pituitary testing