13 results
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 ... #PhysicalExam #Testing ... #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 ... #Vertigo #diagnosis ... #neurology #bppv
Causes of Vertigo - Differential Diagnosis Algorithm
#Diagnosis #Neurology #Dizziness #Peripheral #Central #Algorithm #BPPV #Differential #Ddxof
Causes of Vertigo ... Algorithm #Diagnosis ... #Neurology #Dizziness ... #Peripheral #Central ... #Algorithm #BPPV
TiTrATE schema to approach to Dizziness
 • Time Course: Continuous or Episodic
 • Triggers: Present or
Targeted Exam: HINTS ... • Vestibular (vertigo ... TiTrATE #Dizziness #dizzy ... #algorithm #differential ... #diagnosis #neurology
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Peripheral Vertigo ... auditory findings BPPV ... #Algorithm #differential ... #diagnosis #neurology
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
Characteristics of Peripheral ... PERIPHERAL VERTIGO ... Findings: Rarely #Peripheral ... #diagnosis #findings ... symptoms #comparison #neurology
Causes of Dizziness / Lightheadedness - Differential Diagnosis Algorithm
Lightheaded, unsteady, disoriented - Non-vertigo
Organic Disease
 • Presyncope/Vasodepressor
- Differential Diagnosis ... disoriented - Non-vertigo ... • Anemia • Peripheral ... Somatization #Dizzy ... Lightheadedness #Neurology
Dizziness - Differential Diagnosis Framework
"Tell me what you mean by dizzy without using the word dizzy."
Vertigo:
- Differential Diagnosis ... Vertigo: • Peripheral ... : BPPV, Vestibular ... #Differential #Diagnosis ... #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Algorithm True ... Rotary Movement Peripheral ... Hemorrhage #Dizzy ... #Neurology #Differential ... #Diagnosis #Algorithm
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing ... #HIT #HINTS