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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 - ... vs Peripheral Vertigo ... #PhysicalExam #Testing ... #Vertigo #Central ... #Peripheral #Neurology
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
Central from Peripheral ... Vertigo • Head ... following a finger) • Test ... #Peripheral #Vertigo ... #diagnosis #neurology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
#Diagnosis #PhysicalExam ... VestibularSyndrome #Posterior #CVA ... #Peripheral #Central ... #HeadImpulse #Testing ... #HIT #HINTS
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... HINTS testing has ... CNS, Central nervous ... #Posterior #CVA ... #Syndrome #Algorithm
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
(HINTS = head-impulse ... , nystagmus, test ... A diagnostic algorithm ... or central TiTrATE ... of dizziness or vertigo
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Peripheral Vertigo ... may be present Central ... #Algorithm #differential ... #diagnosis #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
and Central Vertigo ... PERIPHERAL VERTIGO ... CENTRAL VERTIGO ... #Peripheral #Central ... #differential #diagnosis
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
~5th decade → peripheral ... GHRH release, central ... Beckwith Wiedemann syndrome ... glucose suppression test ... • Pituitary testing