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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 - ... Vertigo Head ... Test of Skew ... #Testing #Vertigo ... #Neurology
HINTS Exam - Normal Test of Skew (Normal Vertical Skew)

In a patient with vertigo symptoms, this
HINTS Exam - Normal ... Test of Skew (Normal ... Vertical #Skew #Test ... Clinical #Video #Neurology ... #Vertigo #Peripheral
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
HINTS Exam - Abnormal ... = Peripheral Cause ... #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Peripheral
HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test
HINTS Exam - Abnormal ... = Peripheral Cause ... #HINTS #PhysicalExam ... Clinical #Video #Neurology ... #Vertigo #Peripheral
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
HINTS Exam - Distinguishing ... Vertigo • Head ... following a finger) • Test ... #Vertigo #diagnosis ... #neurology #bppv
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Peripheral Vertigo ... (posterior canal ... #Algorithm #differential ... #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior ... #Testing #HIT #HINTS
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
• A Targeted Exam ... : HINTS, Dix-Hallpike ... • Vestibular (vertigo ... #differential #diagnosis ... #neurology
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... components: targeted neurologic ... if the cause is peripheral ... #Posterior #CVA ... #HINTS #Exam #Vestibular