27 results
The HINTS Exam - Differentiating Central vs Peripheral Vertigo

Head Impulse Test
Nystagmus
Test of Skew

Animation by Dr. Y.
vs Peripheral Vertigo ... Head Impulse Test ... Nystagmus Test ... #HINTS #Exam #PhysicalExam ... Central #Peripheral #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
examiners nose • Nystagmus ... following a finger) • Test ... TylerLarsenMD #HINTS #physicalexam ... #diagnosis #neurology ... #bppv #comparison
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
minutes to days • Nystagmus ... Varies • No neurologic ... vascular causes • Nystagmus ... or supine roll test ... differential #diagnosis #neurology
Ocular Albinism and Nystagmus

#Ocular #Albinism #Nystagmus #clinical #video #ophthalmology #PhysicalExam #neurology
Ocular Albinism ... and Nystagmus ... #Ocular #Albinism ... ophthalmology #PhysicalExam ... #neurology
HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse
Normal Head Impulse Test ... normal head impulse test ... to the left and ... #HINTS #PhysicalExam ... Clinical #Video #Neurology
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
only with upbeat and ... torsional nystagmus ... and reproduction ... Labyrinthitis #diagnosis #neurology ... #comparison
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Central Vertigo ... vestibular neuritis • Nystagmus ... circulation TIA • Nystagmus ... signs #symptoms #comparison ... #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... peripheral cause of AVS and ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Primary Downbeat Nystagmus on Ocular Examination

Primary downbeat nystagmus, most evident on looking down and out .
on Ocular Examination ... on looking down and ... #Ocular #clinical ... #video #physicalexam ... #neurology #ophthalmology
Pediatric Primitive Reflexes - Maneuver and Ages

Palmar Grasp Reflex
 - Place your fingers into the baby's
into the baby's hands ... extend, hands open ... Peds #Diagnosis #Neurology ... #PhysicalExam ... GrepMed Recommended Text